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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 competitive bid areas, all U.S. and territory ZIP codes are affected.

VGM has prepared a presentation to clarify the new payment methodologies, as well as providing an update of current legislative activities that may mitigate some of the negative aspects of the program.

Please view the Preparing for the Expansion of Competitive Bidding Program to Rural America in 2016, by clicking here. Here you will find the January 1, 2016 fee schedule for each state and rural (all ZIPS except CBAs) areas, an estimator for the July 1, 2016 additional payment reduction, and a detailed implementation timeline and description.

If you have any questions feel free to contact Mark Higley at or call 888.224.1631 (O) or 319.504.9515 (C).

Take action today! Binding Bids Bill will likely be re-introduced.

As reported by AA Homecare, representatives Pat Tiberi (R-Oh) and John Larson (D-CT) and senators Rob Portman (R-OH) and Benjamin Cardin (D-MD) are planning on reintroducing the binding bids bill as early as next week. The binding bid bill (HR 4920 and S2975 in the 113th Congress), would require a proof of licensure before a suppliers can bid. It would also require a supplier to obtain a bid bond.

Please find time today to message your senator and member of Congress to support any binding bid language or bill.

We’ve made it easy! A message is ready to go. Click here to very simply send a message to your senators and representative.