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The Durable Medical Equipment Competitive Bidding Program July 16, 2008

The above affects only Medicare beneficiaries in traditional fee-for-service in 10 competitive bidding areas, has been delayed.  Medicare beneficiaries may use any Medicare-approved supplier for Durable Medical Equipment.  If a beneficiary changed suppliers when this new program started (July 1, 2008), they can either continue to use the new supplier or choose another supplier.  The original DME payment rates in effect prior to July 1 are reinstated
retroactively.  All Medicare households in the 10 competitive bidding areas will be notified of this change directly in a letter from CMS within two weeks.
The DME Competitive Bidding areas are: (1) Charlotte-Gastonia-Concord, NC-SC, (2) Cincinnati-Middletown, OH-KY-IN, (3) Cleveland-Elyria-Mentor, OH, (4) Dallas-Fort Worth-Arlington, TX, (5) Kansas City, MO-KS, (6) Miami-Fort
Lauderdale-Miami Beach, FL, (7) Orlando-Kissimmee, FL, (8) Pittsburgh, PA, (9) Riverside-San Bernardino-Ontario, CA, and (10) San Juan, PR.Information on payment rates and claims processing will be communicated to DME suppliers in the coming days.

>> More information on DME

Medicare changes worry patients, oxygen suppliers
Cox News Service  Mar 27, 08
>>
Medicare changes worry patients, oxygen suppliers

CMS looks to limit patient contact   Feb 4, 08
CMS's proposed changes to the DMEPOS Supplier Standards have raised some eyebrows among industry attorneys for what looks like a drastic attempt to reduce a provider's ability to market to Medicare  beneficiaries.
>>http://tinyurl.com/32fk3w

Medicaid Competitive Bidding
It could be as big a threat as Medicare competitive bidding and Florida legislators are leading the way.  Jan 22, 08
>> http://www.hmetoday.com/issues/articles/2002-08_01.asp

HME ‘at stake’ in 2008
With the House of Representatives and the Senate eyeing cuts to home medical equipment.  Jan 22, 08
>>http://www.hmenews.com:80/index.php?p=article&id=hm200801EbidCW

Study Shows Oxygen Therapy for Medicare Patients at Home is Service-Intensive
Nearly three-quarters (72%) of the cost of providing home oxygen therapy to Medicare patients in their homes represent services, delivery, and other operational expenses that benefit patients, according to a comprehensive new survey of current costs by Morrison Informatics, commissioned AAHomecare.  Only about one quarter (28%) of the cost represents oxygen equipment.
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Competitive Bidding Final Rule (Oxygen Supplies and Equipment are #1)
"The final rule we are announcing today is focused on improving both service delivery and the quality of care, while getting savings for beneficiaries and taxpayers," CMS Acting Administrator Leslie V. Norwalk said in an official CMS statement. However, an analyst quoted in the April 2, 2007, issue of Congressional Quarterly said the new rule would lead to business closures and hurt-not help-Medicare beneficiaries.
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CMS Names Top 10 MSAs for Competitive Bidding
After much speculation, the long-awaited list of the first 10 metropolitan statistical areas (MSAs) is finally available from the CMS list posted at www.dmecompetitivebid.com.
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LTOT in COPD: Recommendations for Future Research: An NHLBI Workshop Report
LTOT prolongs life in patients with COPD and severe resting hypoxemia.  Although this benefit is proven by clinical trials, scientific research has not provided definitive guidance regarding who should receive LTOT and how it should be delivered.  Deficiencies in knowledge and in current research activity related to LTOT are especially striking in comparison to the importance of LTOT in the management of COPD and the associated costs. The National Heart, Lung and Blood Institute, in collaboration with the Centers for Medicare and Medicaid Services, convened a working group to discuss research on LTOT.
More Information >>

 

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