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Category: Competitive Bidding

Recapping the week: John Gallagher treks across Capitol Hill-Many follow up meeting

John along with Jay Witter of AAHomecare were able to meet with multiple key congressional members in Washington D.C. this week to discuss priorities of the DME industry. As reported earlier this week, Great Lakes members met with Congressman Larry Bucshon (R-Ind.) hosted by Williams Brothers Healthcare Pharmacy in Washington, Indiana. John had the opportunity

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Breaking News: CMS Submits Change Request for Cures Act Adjustments

On Thursday morning, CMS submitted a change request, which provided instructions regarding the implementation of section 16007 of the Cures Act signed into law December 2016. The change request in its entirety may be viewed here. This request outlined guidance to the DME MACs for the retroactive reimbursement for rural and non-bid providers for equipment

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CMS Announces DMEPOS Competitive Bidding Round 2019

Yesterday the Centers for Medicare & Medicaid Services unveiled plans for the next round of the competitive bidding program moving into 2019. In an announcement, CMS outlined the consolidation of former rounds including Round 1, 2017, Round 2 Recompete, and the National Mail-Order contracts into one single round named Round 2019. All current contracts will

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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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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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Cross Medical featured in local press raises awareness

Michael Isbell of Cross Medical was featured in the Marshall News Messenger this weekend discussing the impacts of Medicare cuts for his business and the beneficiaries that the company serves saying, “In years past, Medicare … would pay us enough for one patient where we had profit margins,” Isbell said. “If we had another patient

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Op-ed from Michigan Healthcare Provider Calls for Consensus

DME providers know all too well how Medicare cuts in 2016 have impacted their business and level of care for their local community’s seniors, a primary focus for independent providers. The challenge is reaching beneficiaries and an audience outside of your customer base in order to create awareness in the community to bring this issue

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Last Chance to Meet with your member of Congress before election

As campaign and election season is coming to a close after the final results are tallied on November 8th, the opportunity to meet with your elected officials will peak over this last weekend! Many Senators and every Representative are going to be hitting the campaign trails hard over this last weekend prior to the election.

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Round 1 2017 Competitive Bid Contract Suppliers Announced

Yesterday the Centers for Medicare & Medicaid Services announced the contract suppliers for Round 1 2017 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. The suppliers will begin serving 534 locations on Jan. 1, 2017, according to a CMS fact sheet. CMS said that 182 contracts were executed following

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Regulatory Alert: CMS Releases New Regulations on Competitive Bidding

CMS has released a final rule that makes improvements to the DMEPOS competitive bidding program which addresses a few key issues including: bid surety bonds, bid ceilings and a peek into what the agency is doing about fee schedules in non-competitively bid areas. After a brief review, VGM feels that these new changes are a

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