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Posted On: October 19, 2020 by VGM Government Relations in: Competitive Bidding
The upcoming webinar “Competitive Bidding Round 2021 - Moving Forward with Uncertainty,” scheduled on Wednesday, Oct. 21 from 1 – 2:30 p.m., is being postponed to a later date. Our government and regulatory team anticipated some movement...
October 19, 2020
Categories: Competitive Bidding
The upcoming webinar “Competitive Bidding Round 2021 - Moving Forward with Uncertainty,” scheduled on Wednesday, Oct. 21 from 1 – 2:30 p.m., is being postponed to a later date. Our government and regulatory team anticipated some movement in implementation – or at least an update from CMS or the CBIC contractor – by this date.
Somewhat surprisingly, there has been none. The official timeline suggested a “Summer 2020” release of the single...
October 16, 2020
Categories: Reimbursement
Both Jurisdictions B and C CGS Medicare issued an update on October 15th related to the MUE claims processing alert. Read their article below for details:
Jurisdiction B & C News from CGSMUE Claim Alert Issue - Claims in Process September 22-26
ANSI Reason Code: CO-151 ANSI Remark Code: MA01 HCPCS Codes Impacted: Multiple
Some claims may have processed against Medically Unlikely Edit (MUE) values incorrectly. The MUE files were incorrect in our system on...
October 14, 2020
Categories: General
Over twenty HME suppliers attended the virtual visit today with our industry champ, Rep. Cathy McMorris Rodgers. The event was hosted by Norco, PAMES, AAHomecare, Pride, and VGM.
Attendees had the opportunity to address issues regarding budget neutrality (H.R.8158) and rural reimbursement (H.R.2771) legislation, which would delay the competitive bid program and telehealth.
Everyone was able to express their sincere thanks to her...
October 14, 2020
Categories: General, Reimbursement
Have you heard that effective November 12, 2020, both the enteral nutrition and parenteral nutrition local coverage determination (LCD) and related policy articles (PA) are retiring? The DME MACs, CGS, and Noridian Medicare released the news on October 12.
What does this mean for you?
For claims with dates of service (DOS) prior to Nov. 12, 2020, the LCD is applicable.
For claims with DOS on or after Nov. 12, 2020, refer to the National Coverage...
October 13, 2020
Categories: Reimbursement
CGS Administrators recently sent out a news alert for Jurisdictions B and C. They aware of a claim payment issue in which some claims may have applied Medically Unlikely Edit (MUE) values incorrectly on the dates September 23, 2020 and September 24, 2020 only. Claims may have paid or denied in error as a result. CGS is correcting this issue and has indicated that it is a number 1 priority with them. For more information, watch Ronda’s vlog. To view CGS’s original announcement,...
October 13, 2020
Categories: Competitive Bidding, Regulatory
Please join the VGM Government Relations and Regulatory team on Wednesday, October 21 at 1 p.m. CT for a live webinar for an important update to the Round 2021 Competitive Bidding program.
This webinar will provide timely information to first-time bidders, seasoned contractors, as well as those companies not offering services within the CBAs. There are several moving parts, and we anticipate some formal announcements (e.g. the single payment amounts and timeline) in...
October 9, 2020
Categories: COVID-19, Paycheck Protection Program, PPP
This week, the U.S. Small Business Administration (SBA) unveiled a now simpler application and process for Paycheck Protection Program (PPP) loan forgiveness, especially for loans that were less than $50,000. This new streamlined process makes it easier for both the business that received the loan, as well as the lender that issued it. The SBA and the U.S. Treasury Department continue to look at ways to make this process easier but still prevent fraud and/or misuse...
October 9, 2020
Providers who applied for and received advanced payments from CMS will now have 1 year to pay back those loans, instead of the 3 months they initially were given to do so. In late March of this year, and as a result of the COVID-19 pandemic, The Centers for Medicare & Medicaid Services (CMS) revised their already existing Accelerated and Advance Payment Program (AAP). This was one of many programs designed to minimize the financial burden that healthcare providers are currently faced with in the...
October 8, 2020
Categories: General
Make Plans to Attend Our Virtual Event for Rep. Cathy McMorris Rodgers!
We are so excited to host a virtual event for Rep. Cathy McMorris Rodgers on Wednesday, Oct. 14. Rep. McMorris Rodgers (R-WA-5) has been a champion to the HME industry, currently the lead sponsor of the Protecting HOME Act, H.R. 2771, as well as the budget neutrality carve-out, H.R.8158.
Make plans to attend this event to thank Rep. McMorris Rodgers for her efforts and encourage her to continue fighting...
October 8, 2020
As we announced last week, HHS has opened up the portal for providers to apply for Phase 3 of the HHS Provider Relief Fund (PRF). Since that initial announcement, HHS has released a few additional details, but there are still some questions that remain unanswered. HHS is hosting a webinar on October 15th at 3:00 p.m. Eastern Time. If you register for the webinar, there is a place where you can enter any question(s) that you would like to have answered during the webinar. We encourage you...
