by Jayme Edwards | Nov 5, 2025 | Regulatory Insight
The most recent JC Council meeting covered several key initiatives from CMS and CGS that could impact providers’ workflow, claim submissions, and communication processes. Here’s a breakdown of what you need to know. CMS FHIR Project: Streamlining Data Exchange CMS...
by Jayme Edwards | Oct 24, 2025 | Regulatory Insight
As of October 1, 2025, North Carolina Medicaid has implemented provider rate reductions that are already affecting reimbursements across multiple care categories, including DME AND HME services. The North Carolina Department of Health and Human Services (NCDHHS)...
by Jayme Edwards | Aug 12, 2025 | Regulatory Insight
A newly released CMS proposed rule could significantly reduce DMEPOS reimbursement rates and limit the number of Medicare contracts available—changes that would be especially harmful to small providers. The DME industry has until Friday, August 29, to submit comments...
by Jayme Edwards | Jun 14, 2025 | Regulatory Insight
CMS has released a final National Coverage Determination (NCD) that expands and clarifies coverage for certain respiratory devices used in the treatment of chronic respiratory failure due to chronic obstructive pulmonary disease (COPD). Meet the...
