Stay up to Date with Regulatory Insights from the Medbill Team
Medbill’s Regulatory Insights deliver concise, actionable updates on the policies shaping the DME industry. From new CMS decisions to shifting payer guidelines, we break down what’s changing to help you stay compliant and optimize your billing.
Competitive Bidding Is Coming Back: What Providers Need to Know Now
After multiple rounds, contract expirations, and years of pauses and adjustments, it’s been unclear whether (or when) Medicare’s DMEPOS Competitive Bidding Program would return. But now, we have more clarity—and more importantly, a timeline.CMS has formally outlined...
Updates from the DMEMAC Jurisdiction C: CMS FHIR, CGS Connect Enhancements, and More
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...
CMS Proposed Rule Could Slash Reimbursement and Limit Contracts—Here’s What to Know
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...
Medicare Issues Final Decision on RAD and HMV Coverage for COPD
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 Expert: Kelsey Kansler...