HME News

  • CMS bulks up PA program
    Agency also adds four codes to ‘Master List’
    HME News Staff

    WASHINGTON – CMS has added seven codes for complex rehab power mobility devices and five codes for support surfaces to the national prior authorization program, AAHomecare reports.

    The agency will roll the PMD codes into the program...

  • Stakeholders launch bid website
    HME News Staff

    WASHINGTON – A group of HME industry stakeholders has officially launched, a website for providers to learn about the changes in Round 2021 of competitive bidding and to prepare their bids.

    “Informed bidding will help sustain DME businesses, ensuring that patients’ access to life-changing...

  • Accessories bill re-introduced in House
    HME News Staff

    WASHINGTON – Reps. John Larson, D-Conn., and Lee Zeldin, R-N.Y., have re-introduced a bill that would permanently exempt complex rehab manual wheelchairs from Medicare’s competitive bidding program and would suspend the agency from applying bid-related payment rates to accessories for those wheelchairs for 18...

  • Industry knew feds would bust ‘obvious’ fraud
    ‘It’s a clear kickback, black and white’
    Liz Beaulieu

    WASHINGTON – HME industry stakeholders aren’t surprised by a $1.2 billion fraud scheme involving medically unnecessary braces and they’re glad to see “bad actors” punished.

    The feds last week charged 24 defendants with an alleged scheme involving illegal kickbacks and...

  • Non-rural providers feel sidelined
    Theresa Flaherty

    YARMOUTH, Maine – HME providers located in the “no-man’s land” between rural areas and competitive bid areas say they are nearing the breaking point.

    “I think the bid areas may find some relief before we do,” said Kevin Hill, owner of CPS Medical in Tyler, Texas....