Legislation & Public Policy


Wilson to Providers: Become HME Zealots

AAHomecare head says providers must re-double their efforts to back H.R. 6490 in run-up to the election.

Overpayment/Underpayment Interest-Rate Change Announced

New rate went into effect on Oct. 18.

NHIC Announces K0823 Prepayment Review Results

The latest report examined 514 claims from 188 different suppliers.

House Passes Pediatric Research Network Bill

Spinal muscular atrophy, Duchenne MD would be among the conditions studied.

ATP Involvement Needed for K0005s Starting in March

New Medicare Learning Network article defines ultralightweight chairs as complex rehab technology.

CMS Postpones K0009 Policy Change Implementation

Change will impact products currently under the K0009 HCPCS Code.

PMD Demonstration Project Begins in 7 States

Prior authorization is required for PMD in participating states for the next three years.

Clinically Speaking

CMS Electronic Clinical Template: A Work in Progress

Study: Long Wait for Consumers to Speak to CMS

New report could explain supposedly low number of competitive bidding complaints.

U.S. Labor Department Announces $1.1 Million Grant

Grant seeks to improve employment opportunities for people with disabilities.



NGS Releases Second-Quarter PWC Prepayment Review Results

Additional documentation still missing in many denied claims cases.

Petition Seeks H.R. 4378 Supporters

NRRTS board members to carry petition to Washington, D.C., in September.

H.R. 4378 Gains Momentum

House bill to create a Medicare CRT separate benefit category adds co-sponsors.

Open Door Forum: Will PMD Electronic Template Work?

Providers express concern over template's practicality for physicians.

VGM Group Distributes NCB Letters

Packet includes newspaper articles about Medicare competitive bidding.

DME MACs to Providers: Supply PWC of "Sufficient Quality" to Last 5 Years

Bulletin issued because of provider questions on replacement policies.

5010 Enforcement Discretion Period Nears End

Electronic standards "grace period" started in January, but ends in June.

Separate Benefit Category Bill Gains Support

First 10 co-sponsors for H.R. 4378 sign on to complex rehab bill.

PECOS Allows Electronic Signatures for Enrollment Applications

New function does not alter who is required to sign.

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