Legislation & Public Policy


OMHA Forum Draws DME Crowd

Industry representatives voiced concerns over audit appeals that have contributed to the ALJ's backlog.

Equal Employment Opportunity Commission Releases Discrimination Stats

Number of ADA-related discrimination charges remains steady, according to latest report.

Audit Headaches Drive VGM Members to Capitol Hill

Office of Medicare Hearings & Appeals event could give the industry a chance to sound off about audit challenges.

NGS Releases Q4 Group 2 PWC Review Results

Failure to disqualify lesser types of mobility equipment is a common reason for claims denials, DME MAC says.

Registration Open for CRT Conference

Three-day event features education, advocacy and Capitol Hill visits.

Industry: Scooter Store Repair "Remedy" Won't Help Consumers

Providers who want to repair former Scooter Store equipment face problems with documentation and payment.

DME MACs Announce Addition of K0900 Customized Code

Code is reserved for customized equipment not able to be grouped with other product types.

FAA Hears Input on Airport Relief Areas for Service Animals

Current policies don't require available areas beyond security checkpoints.

Medicare Announces Intent to Pay for Repairs to SCOOTER Store PMDs

Transfer of PMD ownership to Medicare beneficiaries clears a path for other providers to step in.

NHIC Reports Q3 K0823 Review Results

Jurisdiction A DME MAC announces a charge denial rate sharply lower versus previous quarters.



ICD-10 Testing Week Scheduled for March

The DME MAC and CEDI event is in preparation for October implementation.

Stakeholders Seek to Elevate CMS Capped-Rental Discussion

Controversial final rule has industry taking its arguments to Congress.

"Dear Physician" PECOS Letter Now Available

Implementation affecting DMEPOS prescriptions will start in January.

CMS Finalizes Capped-Rental DME Reclassifications

Despite the many comments submitted by different factions, the final CMS rule looks much like the proposed rule that came before it.

Editor's Note

Bigger Picture, CMS, Bigger Picture

NGS Announces Q3 Denial Rate for Prepayment Power Chair Review

Denial rate is reported to be higher than the previous quarter's.

NHIC Describes CERT Errors on Wheelchair Claims

Sample claims are said to be representative of the most commonly seen mistakes.

NHIC Announces Upcoming IVR Limitations

Expect some Jurisdiction A information to be inaccessible this week.

CRT Separate Benefit Bills Gain Momentum

Thanks to an August push, the U.S. House and Senate bills added co-sponsors during recess.

CGS to Start Medical Review for Catheters

Suppliers will be asked for additional documentation to support affected claims.

How Small Providers Can Rise Above Their Competitors