December Archives

Watch this latest vlog from Ronda Buhrmester, Sr. Director of Payer Relations, as she walks through how to find the CMS DMEPOS fee schedules and more!

Long awaited with keen interest by industry stakeholders, CMS released on December 21, 2021 its final rule (CMS-1738-F) relative to post-pandemic DMEPOS fee schedule adjustments, in addition to making certain benefit category and payment determinations for new items, classification of adjunctive continuous glucose monitors as DME under Medicare Part B and finalized certain DME payment provisions that were included in two interim final rules (CMS-1687-F and CMS-5531-F).

However, the main...

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We are sharing this message on behalf of the Great Lakes State Association on actions needed for those who serve in the state of Indiana.

From Great Lakes President Chuck Williams and Exec. Director Kam Yuricich:

We are pleased to report that Great Lakes Indiana leadership has been working with HME champions in the Indiana state legislature to educate them on the issues HME providers are facing in the Medicaid managed care program. This has led to the development of a bill that...

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Well wishes to Dawn Seek, of MNCHA (Maryland National Capital Homecare Association) on her retirement! Dawn has served as the President, Vice President, Secretary, and Private Duty Chair of MNCHA over the past 15 years. Dawn has been in the homecare industry for over 30 years.

Please join us in wishing Dawn well on this next chapter of her life. Please stay in touch with us Dawn!

We would also like to welcome the Caitlin Houck as the new Executive Director for MNCHA.

The...

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If you are a provider who was required to submit a report to HRSA, and you missed the deadline to submit reports, or would like to make a correction to the report you initially submitted, you now have a second, and likely final, chance to do that. However, that second chance won’t last long. The reporting portal has been re-opened by HRSA, but it will only remain open until December 20th. The statement on their website (https://prfreporting.hrsa.gov/s/) reads:

President Biden Signs Legislation Averting PAYGO and Sequester Cuts from Taking Effect at the Beginning of 2022 

Late last week, President Biden sign S.610, the “Protecting Medicare and American Farmers from Sequester Cuts Act,” which delays implementation of the additional 4% reduction in reimbursement for Medicare providers and suppliers (PAYGO) as well as the 2% reduction in Medicare sequestration cuts. This includes:

No payment adjustment through...

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Yesterday, the Senate passed S.610 - Protecting Medicare and American Farmers from Sequester Cuts Act, delaying implementation of an additional 4% reduction in reimbursement for Medicare providers and suppliers as well as the 2% reduction in Medicare sequestration cuts. Congress had deferred the cuts during the COVID-19 public health emergency, but the deferral is scheduled to expire at the end of this...

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Last night on December 7, the U.S. House of Representatives passed S.610 - Protecting Medicare and American Farmers from Sequester Cuts Act, delaying implementation of an additional 4% reduction in reimbursement for Medicare providers and suppliers.

The passage of this bill will also extend the current freeze on the long-standing 2% reduction in Medicare sequestration cuts. Congress had deferred the cuts during the COVID-19 public health emergency, but the deferral is scheduled...

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Watch Ronda Buhrmester’s latest vblog below on audits for surgical dressings. Click here to view the notification from Noridian or go to https://www.noridiansmrc.com/current-projects/01-303/.

For more information, you can reach out to Ronda at 217-493-5440 or [email protected].

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Amongst the end of the year whirl in Washington D.C., John Gallagher was able to have many productive meetings during his visit to the nation’s capitol this week. Discussions during this visit included reimbursement concerns for DMEPOS items against many mounting issues like COVID mandates, supply chain issues, additional surcharges on HME products, and many more. 

John had a fantastic meeting with Rep. Jodey Arrington (R-TX) of the House Ways and Means. Rep. Arrington also...

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