(The Content below is taken from the Centers for Medicare & medicaid Services: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Home-Infusion-Therapy/Overview.html)Home infusion therapy involves the intravenous or subcutaneous … [Read more...] about Home Infusion Therapy Services
Medicare Part B
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Updates
All Competitive Bid Program Contracts Ended on December 31, 2018.What Beneficiaries Should Know:Equipment in process under the 13 month capped rental program should continue “business as usual”. While providers who do not … [Read more...] about Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Updates
Don’t Fall for the Distraction: The President’s Prescription Drug Proposal is Much Ado About Much Too Little
With the mid-term elections just days away, the President unveiled a minimal drug proposal in yet another effort to suggest minor changes at a politically opportune time. This is a distraction from the fact that the Administration is … [Read more...] about Don’t Fall for the Distraction: The President’s Prescription Drug Proposal is Much Ado About Much Too Little
Congress DID Repeal Outpatient Therapy Caps Despite Lack of Information on Medicare.gov
The Bipartisan Budget Act of 2018 became law on February 9, 2018. The Act repealed the Medicare outpatient therapy caps, which functioned as a barrier to care for those receiving outpatient therapy services. Section 50202 of the Act, “Repeal of … [Read more...] about Congress DID Repeal Outpatient Therapy Caps Despite Lack of Information on Medicare.gov
Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement
On February 9, 2018, the Bipartisan Budget Act of 2018 was signed into law by the President. The budget act includes a “health extenders” package that, among other changes, permanently repeals annual Medicare payment limits (or caps) on … [Read more...] about Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement
Outpatient Therapy Caps: What Now?
Since the Balanced Budget Act of 1997, outpatient therapy under Medicare Part B has been subject to dollar limits, or caps.[1] During most of these 20 years, an “exceptions” process has allowed beneficiaries and providers to seek … [Read more...] about Outpatient Therapy Caps: What Now?
Minimal Social Security COLA Increase Will Likely Lead to Dramatic Part B Premium Increases for Some, Large Deductible Increase for All, Unless Congress Intervenes
On October 18, 2016, the Social Security Administration announced that the annual cost-of-living adjustment (COLA) will increase by only 0.3% in 2017. Although Medicare premiums won’t be announced until later this Fall, as a result of … [Read more...] about Minimal Social Security COLA Increase Will Likely Lead to Dramatic Part B Premium Increases for Some, Large Deductible Increase for All, Unless Congress Intervenes
CMS Proposes Changes in How It Pays for Part B Drugs
Medicare Part B covers drugs that are usually not self-administered, such as many intravenous medications and chemotherapy drugs. Medicare Part D, on the other hand, generally covers self-administered outpatient prescription drugs. On … [Read more...] about CMS Proposes Changes in How It Pays for Part B Drugs
Time for Medicare to Cover Audiology Care
Since its implementation in 1965, Medicare has excluded coverage for hearing aids and related audiology services despite the large numbers of older Americans that have hearing loss. It is increasingly well-documented, however, that untreated hearing … [Read more...] about Time for Medicare to Cover Audiology Care
House Passes Budget Agreement That Would Reduce Dramatic Rise in Part B Costs for Beneficiaries – Bill Moves to Senate; Advocates Remain Concerned About Underlying Causes
Today, the U.S. House of Representatives passed the Bipartisan Budget Act of 2015. Broadly speaking, this agreement avoids a pending government default by raising the nation’s debt ceiling, and prevents relief from budgetary … [Read more...] about House Passes Budget Agreement That Would Reduce Dramatic Rise in Part B Costs for Beneficiaries – Bill Moves to Senate; Advocates Remain Concerned About Underlying Causes