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Category: General

Medicare Settlement Plan Could Relieve Appeal Backlog

By Matthew Loughran | November 15, 2017 6:01PM ET • New CMS Medicare appeals settlement initiatives aim at curtailing nearly three-year backlog of cases • Forthcoming details could decide amount of dent in backlog (Bloomberg Law) — A pair of initiatives announced recently by the Centers for Medicare & Medicaid Services could allow the agency to resolve

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CMS, SBA Reps to Attend Heartland Conference

VGM’s annual Heartland Conference will be the site of a panel discussion with officials from the Centers for Medicare and Medicaid Services (CMS) and the Small Business Administration (SBA). During the session, held June 13, CMS and SBA will discuss the future of the competitive bidding program, as well as promote government resources available for

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Mark Your Calendars for Friday, June 2. VGM Lunch Bucket with John Gallagher, Mark Higley, Tom Powers, and Ronda Buhrmester

During this Webcast, John, Mark, Tom, and Ronda will discuss topics related to the current state of the DME industry, including the competitive bidding program, Medicare’s audit process, and reimbursement issues. Similar to previous “Lunch Buckets,” viewers will have the opportunity submit questions about the current issues. Click here to register. For more information, please

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Seeking support for the Prior-authorization Bill at AAHomecare conference

Last week, H.R. 2445 – Prior Authorization bill was introduced by Rep. Marsha Blackburn (R-Tenn.). At the core, this legislation seeks to reduce the amount of burdensome audits against which providers continue to fight. Vice President of VGM Government Relations John Gallagher said, “The prior authorization bill introduced by Congresswoman Blackburn is a strong step

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Actions Needed This Week! Ask Your Representative to Sign the Letter to HHS/CMS

Thank you to the many advocates of the DMEiIndustry who are attending AAHomecare’s Legislative Conference next week. If you are not attending, we need your help back home. We need you, your co-workers, family members, and friends to reach out to your congressional representative asking them to sign on to the letter to HHS Secretary

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Not Attending the AAHomecare Conference? Your Actions are Needed!

Next week many advocates of the DME industry will trek to Washington, D.C., to attend the AAHomecare Legislative Conference. Many of these attendees struggle to find the time and the funding to travel, but they all understand that making changes to DME policies requires educating and informing leaders in Washington. Thank you to the many

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Competitive Bidding Round 1 2019 – Improper Notification Sent to Providers

A notification was unintentionally sent to providers interested in participating in Round 1 2019 by CMS that can be ignored. The subject of the email read, “IMPORTANT – REMEMBER TO APPROVE FORM A AND CERTIFY FORM B!” Again, suppliers can disregard this notification. VGM has confirmed that the notification was improperly sent due to software

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Call to Action: Continuing the Fight for Sustainable Rates

With yesterday’s release of the update fee schedules for the July 2016 adjustment for rural and non-bid areas, previous estimates have been confirmed that providers were hoodwinked by CMS. As expected, CMS adjusted the new rates by including prices from the most recent round of competitive bidding. Including the additional round of competitive bidding has

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Inside Health Policy article discusses current issues with Oxygen reimbursement

In 2017, CMS incorrectly applied a budget neutrality “offset” to 2017 rural fee schedules for oxygen concentrators. This led to an improper reduction in reimbursement for HCPCS E1390 by an additional 11 percent on average. This forced reimbursement rates in rural areas below the average regional competitive bidding special payment amounts (SPA). Below is an

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