News & Analysis as of

Healthcare DMEPOS

McDermott Will & Emery

Program Integrity Changes to the Medicare Provider Enrollment Process

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On March 1, 2016, the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS) published a proposed rule (Proposed Rule) entitled “Medicare, Medicaid, and Children’s Health Insurance...more

McGuireWoods LLP

Washington Healthcare Update

McGuireWoods LLP on

This Week: FDA Begins Device User Fee Talks with Patients and Consumers Sept. 15... CMS Extends Partial Enforcement Delay of Two-Midnight Policy Through 2015... Alaska Legislature Sues Governor Over Medicaid Expansion....more

King & Spalding

Also In The News - Health Headlines - April 2015 #4

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CMS Announces Round 1 2017 DMEPOS Competitive Bidding System – On April 21, 2015, CMS announced plans for a new bidding process for the supplier contracts awarded in the Round 1 Recompete of the DMEPOS Competitive Bidding...more

King & Spalding

Also In The News - Health Headlines - March 2015 #4

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Congressional Hearing on 340B Program Rescheduled for March 24, 2015 – The U.S. House of Representatives Committee on Energy and Commerce, Subcommittee on Health has rescheduled the hearing on the 340B program for Tuesday,...more

King & Spalding

CMS Announces Updated List of RAC Program Improvements For New Contracts, Beginning With the Newly Awarded DME, Home Health, and...

King & Spalding on

On December 30, 2014, CMS announced that it has awarded a new Recovery Audit Contractor (RAC) contract to Connolly LLC to identify improper Medicare payments nationwide made to suppliers of durable medical equipment,...more

King & Spalding

CMS Announces Next Phase in Medicare DMEPOS Competitive Bidding Program

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On December 11, 2014, CMS announced the bidding timeline for the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Round 2 Recompete and National Mail-Order...more

Buchalter

Medicare Enrollment: A Primer and How to Avoid Traps for the Unwary

Buchalter on

Health-care professionals, facilities and equipment suppliers must be enrolled in the Medicare program to receive payment for covered items and services. In 2006, the Centers for Medicare & Medicaid Services adopted a...more

King & Spalding

CMS Releases CY 2015 ESRD PPS and DMEPOS Proposed Rule

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On July 2, 2014, CMS released the CY 2015 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) Proposed Rule. ...more

McDermott Will & Emery

CMS Proposes Rule to Expand Authorization Program, Solicits Comments on Implementation

McDermott Will & Emery on

On May 28, the Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) published a proposed rule to establish a prior authorization process for certain durable medical equipment,...more

Baker Donelson

Medicare Proposes Prior Authorization Process for Certain DMEPOS Items

Baker Donelson on

On May 28, 2014, CMS issued a proposed rule to establish a permanent prior authorization process for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that are “frequently subject to...more

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