Download or read book Your Guide to Medicare s Durable Medical Equipment Prosthetics Orthotics and Supplies DMEPOS Competitive Bidding Program written by U. S. Department Human Services and published by CreateSpace. This book was released on 2013-10 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare's Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) changes the amount Medicare pays for certain DMEPOS items and makes changes to which suppliers Medicare will pay to supply these items to you. The first phase of the program is already in effect in 9 areas of the country. Starting July 2013, Medicare is scheduled to expand the competitive bidding program to more areas. The program replaces the outdated, inflated fee-schedule prices Medicare is currently paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare pays for these items now. Medicare uses these bids to set the amount it will pay for those equipment and supplies under the competitive bidding program. Qualified, accredited suppliers with winning bids are chosen as Medicare contract suppliers. The program: Helps you and Medicare save money; Ensures that you have access to quality medical equipment, supplies, and services from suppliers you can trust; Helps limit fraud and abuse in the Medicare Program. If you have Original Medicare, live in one of the competitive bidding areas, and use equipment or supplies included under the program (or get the items while visiting a competitive bidding area), you generally must use Medicare contract suppliers if you want Medicare to help pay for the item. If you live in one of the areas where the program is expanding and you're renting oxygen or certain other durable medical equipment (DME) at the time the program starts, you'll be able to continue renting these items from your current supplier if that supplier becomes a contract supplier or decides to participate in the program as a "grandfathered" supplier. If you live in (or get these items while visiting) these areas and don't use a Medicare contract or a grandfathered supplier, Medicare won't pay for the item, and you may have to pay full price. It's important to know if you're affected by this program to make sure Medicare will help pay for your item and to avoid any disruption of service. The competitive bidding program applies to Original Medicare only. If you're enrolled in a Medicare Advantage Plan (like an HMO or PPO), your plan will notify you if your supplier is changing. If you're not sure, contact your plan. Also available in Spanish.
Download or read book Medicare s Competitive Bidding Program for Durable Medical Equipment written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2013 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Your Guide to Medicare s Durable Medical Equipment Prosthetics Orthotics and Supplies DMEPOS Competitive Bidding Program written by Centers for Medicare & Medicaid Services (U.S.) and published by . This book was released on 2015 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Issues for Manufacturer Level Bidding for Durable Medical Equipment written by Kathleen M. King and published by DIANE Publishing. This book was released on 2012-10-19 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2009, Medicare spent approx. $8.1 billion on durable medical equipment (DME), prosthetics, orthotics, and related supplies for 10.6 million beneficiaries. DME includes items such as wheelchairs, hospital beds, and walkers. Medicare beneficiaries typically obtain DME items from suppliers, who submit claims for payment for these items to Medicare on behalf of beneficiaries. The Centers for Medicare & Medicaid Services (CMS), an agency within the Dept. of Health and Human Services (HHS), has responsibility for administering the Medicare program. Medicare and its beneficiaries -- through their out-of-pocket costs -- have sometimes paid higher than market rates for various medical equipment and supplies. To achieve Medicare savings for DME and to address DME fraud concerns, Congress required CMS to phase in a competitive bidding program (CBP) for DME suppliers in selected competitive bidding areas (CBA). In CBP, suppliers submit bid prices in the amounts they are willing to accept as payment to provide DME items to Medicare beneficiaries. CMS then enters into contracts with select DME suppliers to provide DME items at the prices determined by CBP. In contrast to CBP's supplier-level approach, some health care purchasers use a manufacturer-level approach to buy DME items directly from DME manufacturers to obtain savings by leveraging their purchasing power. CMS has not been required to develop a manufacturer-level approach. This report provides information on health care purchasers that currently use a manufacturer-level approach and on issues that would need to be addressed if CMS implemented such an approach. It describes (1) efforts used by some non- Medicare purchasers to reduce DME spending by contracting with DME manufacturers or using purchasing intermediaries, and (2) issues that CMS might face if required to implement a DME manufacturer-level approach with broad authority to do so. Figures and tables. This is a print on demand report.
Download or read book Medicare written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-06 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2007, Medicare spent $8.3 billion for durable medical equipment (DME) and related supplies. To reduce spending, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) required that the Centers for Medicare and Medicaid Services (CMS) phase in a competitive bidding program (CBP) for DME and other items. DME suppliers began bidding in round 1 of the CBP in May 2007. After contracts were awarded, the Medicare Improvements for Patients and Providers Act of 2008 was enacted in July 2008. This report examined: (1) the results of CBP round 1; (2) the major challenges CMS had in conducting CBP round 1; and (3) the steps CMS has taken to improve future CBP rounds. Charts and tables.
Download or read book Medicare written by U S Government Accountability Offi Gao and published by . This book was released on 2019-06-20 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare: Second Year Update for CMS's Durable Medical Equipment Competitive Bidding Program Round 1 Rebid
Download or read book Medicare written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-12-24 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare: Second Year Update for CMS's Durable Medical Equipment Competitive Bidding Program Round Rebid
Download or read book Medicare s Competitive Bidding Program for Durable Medical Equipment written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2013 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare s Competitive Bidding Program for Durable Medical Equipment written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-15 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare's competitive bidding program for durable medical equipment : implications for quality, cost and access : hearing before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Eleventh Congress, second session, September 15, 2010.
Download or read book Medicare written by United States. Government Accountability Office and published by . This book was released on 2004 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare s Durable Medical Equipment Competitive Bidding Program written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-10-04 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare's Durable Medical Equipment Competitive Bidding Program : how are small suppliers faring? : hearing before the Subcommittee on Healthcare and Technology of the Committee on Small Business, United States House of Representatives, One Hundred Twelfth Congress, second session, hearing held September 11, 2012.
Download or read book Medicare written by Kathleen M. King and published by . This book was released on 2015-02-08 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: To achieve Medicare savings for durable medical equipment (DME), the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 required that the Centers for Medicare & Medicaid Services (CMS) implement the competitive bidding program (CBP) for certain DME. The first completed CBP round -- the round 1 rebid -- operated in nine competitive bidding areas. CMS reported total savings of more than $580 million at the end of the round 1 rebid's 3-year term due to lower payments and decreased utilization. This report examines (1) bidding process results for the round 1 recompete, round 2, and national mail-order program, and how they compare to the concluded round 1 rebid results; and (2) how single payment amounts (SPAs) for selected Healthcare Common Procedure Coding System (HCPCS) codes common to the round 1 rebid, round 1 recompete, round 2, and national mail-order program compare. Tables and figures. This is a print on demand report.
Download or read book Medicare written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-12 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare: The First Year of the Durable Medical Equipment Competitive Bidding Program Round 1 Rebid
Download or read book Hearing on the Medicare Durable Medical Equipment Competitive Bidding Program written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-20 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hearing on the Medicare durable medical equipment competitive bidding program : hearing before the Subcommittee on Health of the Committee on Ways and Means, U.S. House of Representatives, One Hundred Twelfth Congress, second session, May 9, 2012.
Download or read book Medicare s DMEPOS Competitive Bidding Program written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 2009 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare past experience can guide future competitive bidding for medical equipment and supplies report to congressional committees written by and published by DIANE Publishing. This book was released on with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare s Competitive Bidding Program for Durable Medical Equipment written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-09-30 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare's competitive bidding program for durable medical equipment : implications for quality, cost and access : hearing before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Eleventh Congress, second session, September 15, 2010.
