As we quickly approach a new year, we want to remind you of some upcoming changes. Starting January 1, 2023, the Centers for Medicare & Medicaid Services (CMS) will discontinue using all Certificates of Medical Necessity and DME Information Forms. Continue reading to learn what you need to know and how these changes will impact your business.
Details About the Certificates of Medical Necessity & DME Information Forms Discontinuation
Here’s the who, what, when, where, why, and how regarding this upcoming adjustment.
Who is Impacted by the Change?
All DME and HME providers and suppliers submitting claims in 2023 for Medicare patients will need to follow this new regulation.
When Does it Begin?
Any claim submissions that have a date of service on or after January 1, 2023, will no longer need to submit a Certificate of Medical Necessity (CMN) and DME Information Form (DIF). However, if you submit any claims with a service date prior to January 1, 2023, you will still need to include those documents (if required).
How Will the Claims Submission Process Change?
The discontinuation of these forms should streamline your billing process and make it more efficient since it removes a previous complex step.
Why Did CMS Make this Change?
This change comes from the Biden-Harris Administration’s wanting to improve access of care for Medicare recipients. The CMS team believes this adjustment will improve those chances. Also, it should allow doctors to focus more on patient care instead of administrative responsibilities.
What Steps Should I Take Next?
Update your claims submission process to remove the CMN and DIFs steps. Medicare will immediately reject your claim if you submit these documents after 2023.
If you have any questions or concerns regarding this change, visit the Medicare Administrative Contractors (MACs) website. Find information pertaining to your state here.
Where Can I Learn More About These Changes?
Read more details about CMS’s Certificates of Medical Necessity and DME Information Forms from MLN Matters.
How Medbill Can Help You Navigate This Change
Our team regularly monitors industry rules and regulation changes impacting DME providers and suppliers. We help to keep the industry up to date on the information when it becomes available. Since we’re a team of DME billing experts, contact us to learn how we can help you navigate this new change or to learn more about our billing services.