Suppliers Face O2 Equipment Maintenance Fee Change
Monday, March 1st, 2010Durable Medical Equipment (DME) suppliers should be aware of Medicare payment changes for maintenance and servicing of oxygen equipment due to go into effect July 1.
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Posts Tagged ‘DMEPOS’
RACs Post New Issues
Monday, January 18th, 2010
HealthDataInsights (HDI) posted on their website 66 new approved issues for review in just the first week of 2010. These latest issues all pertain to Medicare Severity Diagnosis Related Group (MS-DRG) coding and DRG validation. Read more »
DMEPOS 2010 Fee Schedule Updates
Monday, November 16th, 2009
Suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) will not see a fee schedule update for 2010 due to a negative 1.41 percentage change in the Consumer Price Index-Urban (CPI-U) for the 12-month period ending with June 2009.
Act Now: DMEPOS Competitive Bidding Program Underway
Monday, November 2nd, 2009
The Centers for Medicare & Medicaid Services (CMS) began accepting bids for the Round One Rebid of the Medicare Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) on Oct. 21. Qualified DME suppliers in nine areas have until Dec. 21 to submit bids.
Registration to participate in the Round One Rebid is nearing an end. Suppliers that wish to submit bids must be registered by Nov. 4, 9 p.m. EST.
New DMEPOS Requirements Go into Effect
Monday, October 5th, 2009
Suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) must now be accredited and bonded to qualify for Medicare reimbursement.
Requirements for most DMEPOS suppliers to meet new quality standards went into effect Oct. 1. The $50,000 surety bond requirement went into effect Oct. 2. Read more »
OIG Releases 2010 Work Plan
Monday, October 5th, 2009
The Office of Inspector General (OIG) released, Oct. 1, its annual Work Plan for fiscal year 2010. The Work Plan outlines activities the OIG intends to initiate or continue in its ongoing endeavor to right wrongs in Health and Human Services (HHS) programs and operations, such as Medicare. Read more »
OIG Questions Wheelchair Supplier Payments
Tuesday, September 8th, 2009
In 2007, Medicare reimbursement for power wheelchairs far exceeded durable medical equipment (DME) supplier acquisition costs, according to an Office of Inspector General (OIG) report.
Medicare Launches Supplier Competitive Bidding Effort
Monday, August 17th, 2009The 60-day supplier bidding period will begin in late October for the Medicare Competitive Bidding Program’s Round One Rebid for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). To help suppliers prepare for bidding in the nine competitive bidding areas, the Centers for Medicare & Medicaid Services (CMS) is leading a supplier outreach and education effort.
DMEPOS July 2009 Update Calls for Action
Friday, June 12th, 2009
Failure to heed an update to the Durable Medical Equipment, Prosthetics, Orthotics and Suppliers (DMEPOS) Fee Schedule could mean lost revenue for your practice.
DMEPOS Competitive Bidding Program Delayed
Tuesday, April 28th, 2009
At the Obama administration’s request, the interim final rule on the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program went into effect April 18.
The rule—issued by the Centers for Medicare & Medicaid Services (CMS) on Jan. 16—implements provisions in section 154 of the 2008 Medicare Improvements for Patients and Providers Act (MIPPA) related to the program.
Specifically, this rule officially delays implementation of Round 1 of the DMEPOS Competitive Bidding Program until 2009 and Round 2 until 2011; requires CMS to conduct a second Round 1 competition this year; and mandates certain changes for both the Round 1 rebid and subsequent rounds of the program, including a process for feedback to suppliers regarding missing financial documentation and requiring contractors to disclose to CMS information regarding subcontracting relationships.
The Round 1 rebid includes the same items and services and will be conducted in the same areas as the 2007 Round 1 competition, with exceptions. Specifically, the Round 1 rebid excludes negative pressure wound therapy items and services, Puerto Rico, and Group 3 complex rehabilitative wheelchairs.
Suppliers previously awarded a competitive bidding contract will need to resubmit bids for consideration. However, suppliers need only submit financial documents from the past year, rather than the past three years.
The Round 1 rebid will occur in the following cities:
- Cincinnati, Middletown
- Cleveland, Elyria, Mentor
- Charlotte, Gastonia, Concord
- Dallas, Fort Worth, Arlington
- Kansas City
- Miami, Fort Lauderdale, Miami Beach
- Orlando
- Pittsburgh
- Riverside, San Bernardino, Ontario
The Round 1 rebid will include the following categories of items and services:
- Oxygen supplies and equipment
- Standard power wheelchairs, scooter and related accessories
- Complex rehabilitative poser wheelchairs and related accessories
- Mail-order diabetic supplies
- Enteral nutrients, equipment and supplies
- Continuous positive airway pressure (CPAPA), respiratory assist devices (RAD), and related supplies and accessories
- Walkers and related accessories
- Hospital beds and related accessories
- Support surfaces (Group 2 mattresses and overlays) in Miami
CMS is expected to issue guidance on the timeline and bidding requirements related to the Round 1 rebid in the upcoming weeks. This rule does not have an immediate effect on the DMEPOS benefit for Medicare beneficiaries.