CMS Prior Authorization Program Updates
CMS published its annual Notice, updating the Master List of DMEPOS items potentially subject to prior authorization requirements…
March 29 2026Latest in: Billing/Reimbursement
The Rising Tide of Automation and Artificial Intelligence
One theme stood out clearly at Medtrade; automation and AI are moving from curiosity and interest to operational…
March 27 2026Big Beautiful Bill: Impact on Medicaid and DME Suppliers
With a considerable burden of risk for erroneous payments shifted from HHS to state Medicaid programs, experts anticipate…
March 9 2026Banker Pleads Guilty: Lessons for DME Suppliers
“Operation Gold Rush” refers to a large 2025 DOJ investigation targeting a transnational criminal organization (TCO) behind a…
February 16 2026Competitive Bidding: A Summary – Part 4
The final installment of Bachenheimer and Baird's four-part competitive bidding summary covers furnishing of items, disclosure of subcontracting…
February 6 2026Competitive Bidding: A Summary – Part 3 of 4
What competitive bidding program rules have NOT changed?
January 30 2026Competitive Bidding: A Summary – Part 2 of 4
In part two of the competitive bidding summary, Bachenheimer and Baird give additional details on the new rules…
January 23 2026Competitive Bidding: A Summary – Part 1 of 4
What are the seven product categories for the next round of the competitive bidding program? Bachenheimer and Baird…
January 15 2026DMEPOS Fee Schedule Released
The fee schedule went into effect on Jan. 1, 2026 and includes the 2.0%-2.8% CPI-U adjustments.
December 30 2025AAHomecare: CMS Publishes CPI
CMS has published the Consumer Price Index for All Urban Consumers (CPI-U) adjustments for the Calendar Year 2026 DMEPOS…
December 23 2025