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Category: Regulatory

Veterans Mobility Safety Act Passes in the Senate with Improvements

H.R. 3471, the Veterans Mobility Safety Act of 2016 will be heading back to the House after the Senate passed the legislation which included an amendment from Sen. Jerry Moran (R-Kan.) late last week. The bill requires the VA to establish quality and safety standards for adaptive equipment and vehicles including: Equipment quality and safety

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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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Round 2 Recompete: A new wave of “secret shopper” calls (and what you need to know) By Mark Higley

It’s déjà vu – all over again. Some readers may recall last year I wrote about the subject in a VGM blog. The article started out, “The Competitive Bidding Implementation Contractor (CBIC)’s Elaine Garrick has issued termination letters to dozens of HME companies due to their failure to properly respond to ‘secret shopper’ calls initiated

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Mark Higley’s commentary: Contract offer responses due today in Connexion

After the extension of time allowed for companies to accept their Round 2 Recompete bids, today is the final day to do so. As in previous competitions, there will likely be an additional round of contract offers in many CBAs.  To be clear, those suppliers with current offers in Connexion must complete the response by

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April update to the DMEPOS rural zip code file

As HME providers are most aware, last October CMS released the zip codes for the non-bid areas that will be impacted by the national expansion of competitive bidding, which went into effect Jan. 1, 2016.  CMS also designated rural zip codes, which covered 16,285 zip codes (37.8 percent of the total); these areas received rates

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Did you miss Mark Higley’s Webinar on the Round 2 Recompete?

We have posted Mark Higley’s webinar discussing everything you need to know for Round 2 Recompete. At the top of the homepage on www.vgmncbservices.com you can view the webinar and corresponding PowerPoint for your convenience. With the deadline extension to complete contract offers for Round 2 Recompete to Thursday, March 31, 2016, there is still

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CMS releases January 1, 2016 fee schedule amounts for non-bid areas

On November 23, 2015, CMS announced the release of the January 1, 2016 Medicare DMEPOS fee schedule amounts for items included in previous and current competitive bidding programs. These items were adjusted (downward) in accordance with CMS Final Rule 1614-F, and sections 1834(a)(1)(F) and 1842(s)(3)(B) of the Social Security Act. With the exception of current

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CMS steamrolls ahead with vent overhaul

Reported by HME News BALTIMORE – Despite widespread opposition, CMS will replace five codes for ventilators with two, and reduce reimbursement significantly, says AAHomecare. The new codes, E0465 (invasive) and E0466 (non-invasive), go into effect Jan. 1. CMS hasn’t released the fee schedule amounts yet, but Brummett says she expects the agency to make a

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From the desk of Mark Higley: Fall Seminar Series starts next week. Reserve your seat today!

Fall Seminar Series mission is to deliver relevant and timely information for our members to help them COMPETE, PROSPER and SUCCEED so they can continue to do what they do best…take care of patients. Register today for a seminar nearest to you. Click here to view the list of cities Mark and the group will

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