In the last few weeks, there have been changes regarding Round 2021 of the DMEPOS Competitive Bidding Program. Continue reading below for answers to some commonly asked questions regarding this topic. Q: Were the 16 product categories suspended or delayed? A: 14...


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Stay informed with Medbill’s blog, where we share expert guidance, practical tips, and industry updates to help DME providers navigate the industry’s complexities.
Industry
Round 2021 moves forward with OTS Back & Knee Braces, SPAs, and Contract Offers
Due to the ongoing COVID-19 pandemic, stakeholders asked CMS to delay or cancel Round 2021 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). CMS had 130 competitive bid areas (CBAs) with over 2,000...
Proposed Rule Changes would Streamline Medicare Services and Provide Diabetes Patients with more Therapy Choices
On October 27, aligning with President Trump’s Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors, CMS proposed changes to the Medicare Durable Medical Equipment, Prosthetics, Orthotic Devices, and Supplies (DMEPOS) coverage and payment...
Termination of Parenteral Nutrition Local Coverage Determination & Related Policy Article with Correct Coding and Billing – November 12, 2020
The Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) have made the decision to retire the Parenteral Nutrition Local Coverage Determinations (LCDs) along with a related Policy Article. Due to the gradual development of the parenteral...
Termination of Enteral Nutrition Local Coverage Determination & Related Policy Article with Correct Coding and Billing – November 12, 2020
Due to the gradual development of the enteral nutrition clinical paradigms, the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) have made the decision to retire the Enteral Nutrition Local Coverage Determinations (LCDs) along with a related...
ReaDME News: Urological Supplies are included in CGS’s Post-Pay Medical Review
CGS announced they will be conducting a complex post-pay, service-specific, medical review for urological supplies, HCPC Codes A4351; A4352; A4353; A4355 and A4316. The review was announced after an investigation into HCPC Codes A4351; A4352; A4353; A4355 and A4316,...
ReaDME: the latest in DME news May 2019
DME Today The latest in DME news, from regulations and guidelines to payer and patient trends. United Health Care has begun to deny CPAP/BIPAP supplies claiming they are bundled in the reimbursement for the machine. Most suppliers affected have started to see...
ReaDME: The latest in DME news April 2019
DME Today The latest in DME news, from regulations and guidelines to payer and patient trends. CMS Released a Medicare Beneficiaries Fact Sheet. It describes, in numbers, the current Medicare Population. Healthcare Updates Upcoming events and news to keep you...
ReaDME: The latest in DME news March 2019
Healthcare Updates Upcoming events and news to keep you ahead of the curve. CMS released the change request to the DME MACs to update the fee schedule during the Competitive Bid Gap period effective April 1, 2019. Be sure to review the...
ReaDME: The latest in DME news February 2019
DME Today The latest in DME news, from regulations and guidelines to payer and patient trends. Billing Dually Eligible Beneficiaries in the QMB Program CMS released the yearly reminder on the restriction to bill Beneficiaries who are dually enrolled in Medicare...
ReaDME: The latest in DME news January 2019
DME Today The latest in DME news, from regulations and guidelines to payer and patient trends. Medicare DME MACs released a joint publication requiring that claims with dates of service after March...
ReaDME: The latest in DME news December 2018
DME Today The latest in DME news, from regulations and guidelines to payer and patient trends. CMS released the multifunction ventilator procedure code, E0467, in the new codes effective for January 2019. Please be advised this is a bundled item...













