Monthly Archives: August 2011

Round 2 DMEPOS Competitive Bidding Categories Released, O&P Not Included

The Centers for Medicare and Medicaid Services (CMS) released their preliminary list of product categories that will be part of Round 2  Durable Medical Equipment, Prosthetics, Orthotics Supplies (DMEPOS) Competitive Bidding Program beginning in the summer of 2013.  Round 1 … Continue reading

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IOM May Miss Essential Health Benefits Deadline

The Institute of Medicine, an independent agency made up of experts in the health care field and based in Washington DC, was mandated in the Affordable Care Act to produce a report recommending which health care services should be covered … Continue reading

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Delaware Becomes 20th State to Pass Prosthetic Parity

Delaware is now the 20th state that has enacted laws requiring health insurers to provide coverage for prosthetic care equally to other medical services coverage.  Prosthetic parity laws reduce spending on physical rehabilitation and future complications associated with limb loss, … Continue reading

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Done Deal! Debt Ceiling Bill Heads to President

S. 365, The Budget Control Act of 2011, passed the United States Senate by a bipartisan vote of 74-26 just minutes ago, sending the bill raising the federal debt limit to the President for his signature just hours before the … Continue reading

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Debt Ceiling Deal, Custom Prosthetics Claim Update, Veterans Amendment

Custom Prosthetic Device Claim Denials to be Reprocessed: CMS has ruled that custom prosthetic devices that were inadvertently denied dating back to April of this year will be reprocessed by Durable Medical Equipment Medicare Administrative Contractors (DMEMAC), but the underlying … Continue reading

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