The Centers for Medicare & Medicaid Services (CMS) recently released Round 2021 pivotal bid results from the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). The results include information on the:
- Competitive Bid Area (CBA) name
- HCPCS product code
- Modifier
- Post and pre-cancellation bid amounts
Download the excel document containing the pivotal bid results here. The document shows what the Single Payment Amounts (SPA) would have been if the bids had not been suspended.
CMS will continue to evaluate Round 2021 results and use the gathered information to improve DMEPOS CBP. The information will help CMS:
- Set market-based prices
- Reduce costs for beneficiaries and taxpayers
- Limit fraud and abuse within the Medicare program
- Ensure beneficiaries have access to quality items
As results become available, CMS will share the information with stakeholders and other interested parties.
Medbill is a full-service, DME billing service provider. We help you with “behind the scenes” activities from document review, claims submission, and more while providing you updates on industry news and trends. Contact us to see how we can become YOUR DME Billers. Call us at 888-880-6640 or use our online form.