On June 26, 2012, CMS published a notice announcing that it is considering using its “inherent reasonableness” (IR) authority to establish special Medicare payment limits for diabetic testing supplies furnished on a non-mail order basis. Under the statutory IR authority, CMS can adjust certain Medicare Part B payment amounts that are “grossly excessive” (generally cases
inherent reasonableness
CMS Examining Inherent Reasonableness Payment Adjustment for Medicare Retail Diabetic Testing Supplies; Meeting Scheduled for July 23
By Debra A. McCurdy on
CMS has announced that it is considering using its “inherent reasonableness” (IR) authority to establish special Medicare payment limits for diabetic testing supplies furnished on a non-mail order basis. Under the statutory IR authority, which was codified in a 2005 final rule, CMS can adjust certain Medicare Part B payment amounts that are “grossly excessive”…
Medicare Payment for Power Wheelchairs
By Debra A. McCurdy on
The OIG has issued a report on “Power Wheelchairs in the Medicare Program: Supplier Acquisition Costs and Services.” According to the OIG, Medicare paid almost four times the average amount paid by suppliers to acquire standard power wheelchairs during the first half of 2007. Specifically, Medicare paid suppliers an average of $2,970 beyond…