In CMS
Jan 8th, 2019
If you are a durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) company who is in Medicare’s Competitive Bidding program, your contract expired on Dec. 31, 2018. The Centers for Medicare & Medicaid Services (CMS) says there is a temporary 2-year gap in the entire program, expected to end on Dec. 31, 2020. This means, ...
Aug 31st, 2018
Comments Off on Medical Equipment Companies Cheer for Possible End to Medicare Competitive Bidding
Unless you’re a healthcare worker using durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) or are a home healthcare company, you probably have no idea what Medicare’s DMEPOS Competitive Bidding Program (CBP) is or how it affects healthcare equipment suppliers and patients. Frankly, it’s been a thorn in the sides of many DMEPOS companies for ...
In Audit
Jan 26th, 2018
The Centers for Medicare & Medicaid Services (CMS) measures the fee-for-service (FFS) improper payment rate through the Comprehensive Error Rate Testing (CERT) program. According to a 2017 CERT report, CMS had a 90.5 percent proper payment rate and a 9.5 percent improper payment rate for all claims submitted July 1, 2015, to June 30, 2016. ...
In Billing
Jan 19th, 2018
The Centers for Medicare & Medicaid Services (CMS) finalized, this week, proposed Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Quality Standards for custom fabricated and therapeutic inserts with one minor change. The revisions, effective Jan. 9, 2018, occur in the Custom Fabricated and Therapeutic Inserts section in Appendix C of the DMEPOS Quality Standards. ...
In Coding
Jul 6th, 2017
The Centers for Medicare and Medicaid Services (CMS) have released an update to the prior authorization process for certain durable medical equipment, prosthetic, orthotics, and supplies (DMEPOS) items. As originally announced in the Federal Register, published on December 21, 2016, CMS is preparing for the nationwide expansion of the prior authorization process for the first ...