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From the Reimbursement Team: Decide NOW – Will You Be a Par or Non-par Provider in 2017?

With the end of the year approaching fast, now is the time to decide if you will be a participating (par) or non-participating provider. Before making your decision, we highly encourage you to watch this video, read the article below and download these slides from reimbursement experts Ronda Buhrmester and Dan Fedor. Unlike golf, being

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Cures Act Extends Group 3 Wheelchair Accessory Fees to June 2017

CMS recently announced that the KU modifier will continue to be used on the claim line to ensure accurate reimbursement for accessories used on Group 3 power wheelchairs (HCPCS codes K0848-K0864) through June 30, 2017. The continued use of the KU modifier is great news as it will require providers to use less resources to receive accurate reimbursement for CRT accessories. The use

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Prior Authorization Codes Released for 2017 Implementation

Last year it was announced that CMS will be implementing prior authorization on select durable medical equipment. Now that CMS has introduced this list, which can be viewed here, it means that there will be two phases of requirements for prior authorization as a condition of payment. Phase one begins March 20, 2017, and includes

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CMS Release of Competitively Bid 2017 Rates Raises Red Flags

The Centers for Medicare and Medicaid Services has released fee schedules for 2017, which brings a mixed bag of changes. As yesterday’s Legislative Update reported, the fee schedule adjustment, which applies to non-competitively bid codes, showed that there was a small increase in the Consumer Pricing Index (CPI), which is the cost of living for

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H.R. 3471 – Veterans Safety Mobility Act Signed by President Obama

On Wednesday, President Obama signed H.R. 3471, the Veterans Safety Mobility Act. This legislation creates new safety standards for companies that are providing vehicles and modifications for disabled veterans through the VA. There was an amendment offered by Sen. Jerry Moran (R-Kan.) which ensured that the certification process was fair and allows independent dealers to

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From the Reimbursement Team: The CURES bill passed….now how do we collect the additional reimbursement?

The burning question lately has been…now that the CURES Act has been signed into law how will providers go about receiving the additional reimbursement now that the fee schedule from Jan 1 has been extended through Dec 31. We are anxiously waiting for CMS to announce how they intend to handle adjusting these claims. We

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President Obama signs Cures Act into Law Give HME Momentum in 2017

Following the official signatures of House Speaker Paul Ryan (R-Wisc.) and Senate Pro Tempore Orrin Hatch (R-Utah), the 21st Century Cures Act has been signed by President Obama on Tuesday. Signing this bill into law addresses numerous areas of healthcare including medical innovation, cancer cure funding, mental health, home medical equipment, and more. VGM’s VP

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Legislative Alert: Cures Act Heads to President’s Desk with Rural Relief

The U.S. Senate has passed the 21st Century Cures Act meaning that the legislation will be heading to President Obama’s desk to be signed. After overwhelming passage in the House last week, the Senate passed the legislation on Tuesday by an overwhelming majority of 95-4. The president has declared his support for the legislation in

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Call to Action: Vote on Cures Act Expected Monday in Senate – Call Your Senators!

Industry stakeholders and grassroots advocates in DME and CRT have cleared one hurdle working towards relief for suppliers across the country, but there is still work to be done moving into the final days of the 114th Congress. Outlets are reporting that the Senate will be holding a vote on H.R. 34, which is the

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Vehicle for 21st Century Cures Passes in the House

Vehicle for 21st Century Cures Passes in the House The House of Representatives passed the 21st Century Cures bill earlier today. The bill, led by House Energy and Commerce Chairman Fred Upton (R-Mich.), originally addressed only medical innovation, and was incorporated into a vehicle dubbed as the “Health Policy Omnibus” in an effort to pass

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