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Georgia DME Licensure Bill Signed into Law – A Big Win for Georgia Providers

See the release from the Georgia Association of Medical Equipment Suppliers on the passage of DME state licensure: May 9, 2017 – Atlanta, GA Today Governor Nathan Deal signed SB 41 into law. GAMES wishes to thank Governor Deal, Senator Renee Unterman, and Rep. Jesse Petrea for their guidance and support as the bill moved

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Providers Meet in Michigan to Discuss Proposed Rate Cut from BCBS

Tom Powers, of VGM Government Relations, traveled to Lansing, Michigan, with a few other Michigan providers yesterday to meet with Al Pscholka, budget director for the state of Michigan, and two Medicaid representatives. The meeting was with a small number of providers in order to start a discussion about the proposed rate cuts from Blue

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CGS preparing for mass adjustments as a result of 2016 CURES Act

Yesterday DME contractor, CGS announced they are preparing to begin mass adjustments to all claims covered under the Section 16007 of 21st Century Cures Act for DMEPOS items for Jurisdiction B and C. It was indicated in yesterday’s announcement that the process will take approximately 24 weeks to complete, adjusting up to 40,000 claims per

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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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CMS Releases Updated Adjustments for July 2016 Retroactive Fee Schedule

The Centers for Medicare and Medicaid Services (CMS) has released update fee schedules for the July 2016 adjustment for rural and non-bid areas, which the 21st Century Cures Act authorized late last year. As expected, CMS adjusted the new rates by including prices from the most recent round of competitive bidding. Including the additional round

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U.S. Rehab Team Wraps Up Their Week at the NCART/NRRTS Conference

Yesterday (Thursday), Greg Packer, Kayla Mahler, Ron Turzy, Dan Fedor, and Tom Powers attended over 15 congressional meetings on Capitol Hill during the 2017 National CRT Leadership and Advocacy Conference. The group educated legislators on the issues with complex rehab technology and asked them to support H.R. 1361 and S.486, Protecting Beneficiary Access to Complex

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Improvements to the Adjudication Process of Serial Claims

By Kelly Grahovac, The van Halem Group A major win for DME suppliers was announced yesterday (Thursday), as CMS released information regarding improvements to the adjudication process of serial claims. Effective April 7, 2017, CMS has implemented changes to improve the processing and adjudication of recurring (monthly) claims for capped rental and certain inexpensive and

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