Great Industry Update – CMS Announces 5%+ CPU Adjustments!
On Thursday, December 2, 2021, The Centers for Medicare & Medicaid Services (CMS) released the fee schedule adjustments for the DMEPOS 2022 calendar year. The exact changes will depend on …
What is DME Billing?
Durable Medical Equipment (DME) billing is a complex industry, which leads to many people asking the question, what is DME billing? DME billing is the process of submitting then receiving …
Clarity on Billing Oxygen Claims During the COVID-19 PHE
Since the COVID-19 Public Health Emergency (PHE) began, the Centers for Medicare & Medicaid Services (CMS) temporarily suspended clinical indication of the Local Coverage Determinations (LCDs) and certain in-person encounters. …
How the OIG Contractor Audits Relates to CMS
You’ve probably heard of the Office of Inspector General (OIG). You might have even read some of their reports, but do you know the OIG’s purpose and how it relates …
What to Know About the Medicare Improper DMEPOS Payments
During a recent Office of Inspector General (OIG) report, it was discovered that Medicare improperly paid suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items. The OIG has …
Does Medicare Cover DME in a Long Term Care Facility?
While there are multiple parts to Medicare insurance coverage, this article will focus on Medicare Part B coverage. Part B determines if your insurance covers durable medical equipment (DME). Regarding …
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 …
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, …