Reimbursement:
PEN PUMPS AREN'T CAPPED RENTALS, CMS CLARIFIES
Published on Mon Nov 27, 2006
New transmittal remedies confusion.
If you're gearing up for next year's payment changes for durable medical equipment, take note of a new missive from the Centers for Medicare & Medicaid Services.
On Nov. 28, the agency released a transmittal designed to provide "further education" relating to capped rental provisions being implemented next year as required by the Deficit Reduction Act.
At a recent Home Health Open Door Forum, CMS noted that some confusion exists regarding what supplies are included--and excluded--from the provisions, which are effective Jan. 1, 2007.
Common misconception: The capped rental provision does not affect parenteral nutrition (PEN) pumps. That's because Medicare covers the pumps under the prosthetic benefit, not as a capped rental item, CMS' Joel Kaiser tells Eli.
CMS notes in Change Request 5470 that a final rule has not yet been published on the subject of the transmittal: "Although some of the statutory provisions (i.e., the length of payment caps) are self-implementing, some aspects of this instruction may change with the publication of the final rule." v
Note: The transmittal, Change Request 5470, is available online at
www.cms.hhs.gov/Transmittals/2006Trans/list.asp.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
