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Category: Reimbursement

Reimbursement

Telemedicine Approved for Medicare, Medicaid Reimbursement

Earlier this week Jonathan Linkous, the CEO of the American Telemedicine Association, proudly announced to the ATA membership that the Centers for Medicare and Medicaid Services (CMS) had approved various …

Reimbursement

CMS seeks to update home health services payment rates and eligibility requirements

On July 7, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule updating Medicare’s Home Health Prospective Payment System payment rates for 2015. The rule implements the …

home medical equipment news
Reimbursement

HME News: CMS barrels forward with bidding, bundling

CMS’s plan to expand competitive bidding pricing and implement bundled monthly payments for certain HME is a mixed bag of positives and negatives, industry stakeholders say. Biggest loser: rural areas …

Reimbursement

Hospitals to Get 2.1% Pay Boost on Medicare Outpatients

Medicare payments to hospitals for care they provide on an outpatient basis would increase 2.1 percent under an White House Administration proposal highlighting a trend toward discouraging unnecessary admissions. Medicare, …

Reimbursement

CMS announces Medicare appeals without ALJ

Medicare Part B Providers will be able to appeal certain Medicare claims decisions without utilizing an administrative law judge, the Centers for Medicare & Medicaid Services announced Thursday. Settlement Conference …

Reimbursement

AAHomecare: DMEPOS Competitive Bidding Improvement Act FAQs

H.R. 4920 – Frequently Asked Questions With the recent introduction of H.R. 4920, Medicare DMEPOS Competitive Bidding Improvement Act of 2014, questions about the specifics of the bill and why …

Reimbursement

MedPAC: ACOs should be allowed to waive 3-midnight requirement for Medicare skilled nursing coverage

Accountable care organizations should be able to place patients in skilled nursing facilities more quickly and communicate which SNFs are preferred providers, the Medicare Payment Advisory Commission stated in a …

home medical equipment news
Reimbursement

HME News: Providers debate prior auth proposal

A majority of HME providers welcome the idea of prior authorizations for certain DME, but they say Medicare’s proposed timeline for returning decisions is unreasonable. Sixty-nine percent of the 160 …

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