Georgia Association of Medical Equipment Suppliers
NEWS & NOTES


September 1 | 2017

In this issue:

  1. Annual Meeting a Success!
  2. CURES Medicaid Crossovers
  3. From AAHomecare
  4. Healthcare in the News
  5. Save these dates!

GAMES Platinum Members!






GAMES Associate Members
Support the associate members who support GAMES. If your vendors aren't on the list, ask them why!


Platinum


Airgas Puritan Medical
Christa Forrester
Mark Bradshaw



Drive DeVilbiss Healthcare
Joe Gessner
Steve Wakser




Philips Respironics
Susan Yenney
Kimberly Williamson



VGM Group
Gil McCall
Pat Aydelott


Gold

BREAS
Todd Tyson

Brightree
Melinda Mahoney

CAIRE

Lanier Hogan

Fisher & Paykel
Gregg Stahl

Cryogenic Inventory Solutions
Anne Holcombe
Travis Caulk

Mediware
Michelle Caldwell

ResMed
Jamie Griffis

The Compliance Team, Inc.
Jack Haire
Sandra Canally

The MED Group
Ted Metcalf

Silver

ACHC
Randy Hughes

ACU-Serve
John Stalnaker

Allegiance Group

Bruce Gehring

ABC Plus
Marcus Kruk

Barbara's Billing & Consulting
Barbara Penzien

Compass Health
Joe Toth

GCE Healthcare
John Lewis

IMS
Bo Lanier

Linde Healthcare
Clay Stalnaker

McKesson Medical Surgical
Chip Wooten

Medical Specialties Distributors
Pat Burke

Medline

Brian Topchik

Medtronic
Chris Arapoff

Pharmacists Mutual Insurance
Hutton Madden

Quality Medical Inc.
Jim Worrell

TestSmarter
 Brad Womble

Verus Healthcare
Rachel Dobyns


Bronze

Medtrade

Keving Gaffney

Pride Mobility Products
Steve Joyce

GAMES Annual Meeting in Jekyll Island a big success!

From Tyler Riddle, GAMES President

You may have noticed that this week’s edition of GAMES N&N is running a day behind! With the successful wrap up of the 2017 GAMES annual meeting happening this Tuesday, Teresa and I both needed an extra day to get our feet back under us before getting this out to the members, thanks to all for your patience!

For those of you that attended this years annual GAMES meeting in lovely Jekyll Island (lovely when the wind wasn’t blowing and the ghosts of antebellum GA weren't haunting our hotel rooms)... You no doubt are getting back to work and reflecting on what I feel was one of our more successful and inspiring meetings in recent memory.

While overall attendance was down, I thought that our speakers and education sessions were some of the best and most helpful we've had in a while. These great sessions coupled with the support from our outstanding associate members made for a very intimate meeting that led itself to a lot of exploration of ideas among members and some truly memorable networking time.

I want to thank all of our attendees, our associate members, and our speakers for their commitment to GAMES and our industry. I would also like to offer my most sincere thanks to Joe Gessner of Drive for his service to GAMES and to Christa Forrester of Airgas for coming on to serve YOU as an associate board member.

I leave you all with this quote which serves as the unofficial mantra of GAMES:
"Every man owes a part of his time and money to the business or industry in which he is engaged. No man has a moral right to withhold his support from an organization that is striving to improve conditions within his sphere." - President T. Roosevelt, 1908




























Georgia Medicaid and CURES Crossover Payments 

Several GAMES members contacted the GAMES office with questions regarding how to file crossover claims with GA medicaid for claims adjusted under the CURES act. Below is the direction received from Medicaid:

CMS has provided guidance on adjustments that may be processed on DME claims associated with the Cures Act. Certain DME items furnished on or after January 1, 2016 may be eligible for an adjusted payment. Further details are available regarding the CMS DMEPOS Adjusted Fee Methodology under the Cures Act at www.cms.gov.  

As a provider of Medicaid services, Medicare may have adjusted claim payments originally posted on select Medicare crossover claims. If you have identified that Medicare has adjusted your original claim payment under the guidance of the Cures Act, you must access the web portal located on Medicaid’s GAMMIS website to complete the provider form titled DMA-501: Claims Adjustment Request, and attach the original Medicare EOB indicating the adjusted payment information. 

Please note, adjustment requests must be received within 6 months from the month of the Medicare adjustment.

Industry Updates from AAHomecare

HHS Seeks Supplier Feedback on Departmental Appeals Board Experiences

Yesterday, the HHS Departmental Appeals Board (DAB) requested stakeholders who have had a case heard by the DAB to provide feedback on the actions used when resolving a case. DAB is the fourth level of the five levels of the Medicare Appeals Program. The request is informal and there is no deadline shown. Any interested parties who have had a case heard by the DAB, including the Civil Remedies Division and Medicare Operations Division, are welcome to submit comments to: DABStakeholders@hhs.gov

AAHomecare encourages suppliers to participate in this opportunity. You can find the announcement here.

AAHomecare Responds to Capitol Hill & CMS Requests for Fixes to Medicare Regulations

This past week, AAHomecare submitted comments to the Ways and Means Committee for their Medicare Red Tape Relief Project and also for a CMS Request for information (RFI).

Earlier this summer, Ways and Means Subcommittee on Health announced an initiative to reduce Medicare regulations and requested providers share feedback on burdensome regulations. Similarly, CMS also requested stakeholders share ideas on how to reduce burdensome regulations in the 2018 ESRD PPS Proposed Rule (CMS-1674-P). AAHomecare responded to both requests and covered a variety of regulatory issues in the letters regarding documentation, implementation of competitive bidding, and CMS’ audit and appeals program. AAHomecare is pleased to see CMS and Congress is interested in reducing burdensome regulations and requesting stakeholder feedback.

You can find a copy of Ways and Means feedback here and the CMS RFI comments here.

Healthcare in the News 

These news clips were shared with GAMES by our state lobbyists, Southern Strategy Group:

Familiar face in health care circles picked to run Georgia Medicaid
A health care consultant and former deputy commissioner of the Department of Community Health has been named the new chief of Georgia Medicaid.

Latest fake painkillers similar to those in fatal June outbreak
The GBI has identified the pills in the recent Houston County overdoses as similar to the synthetic opioid found in the deadly June counterfeit painkiller cases.

In first, drug lowers heart risk by curbing inflammation
For the first time, a drug has helped prevent heart attacks by curbing inflammation, a new and very different approach than lowering cholesterol, the focus for many years.

'An opportunity to give back' for new chief at Public Health
By age 75, most people have nestled into retirement, taking it easy.

Abuse in nursing homes unreported despite law
More than 1 in 4 cases of possible sexual and physical abuse against nursing home patients apparently went unreported to police, says a government audit that faults Medicare for failing to enforce a federal law requiring immediate notification.
 

Save These Dates!
 
Medtrade
October 23-25, 2017
Atlanta, GA

GAMES Day at the Dome
January 29, 2018