On Wednesday, January 13, 2026, CMS released the annual updates to the Master List of DMEPOS Items Potentially Subject to Face-to-Face Encounter and Written...
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January 15, 2026
On Wednesday, January 13, 2026, CMS released the annual updates to the Master List of DMEPOS Items Potentially Subject to Face-to-Face Encounter and Written Orders Prior to Delivery and/or Prior Authorization Requirements. The Master List serves as...
December 11, 2025
Effective Jan. 1, 2026, new modifiers are required to be appended to each HCPCS billed for lymphedema compression treatment items, pneumatic compression devices and related supplies, and ventilator and related supplies. Billing claims without these modifiers...
November 17, 2025
Denied durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claims can disrupt cash flow and patient care, but they don’t have to be the end of the road. Understanding the appeals process and preparing a strong response can...
October 28, 2025
This article was written by Liz Beaulieu, originally featured in HME News The Centers for Medicare and Medicaid Services (CMS), under the new administration, has made combating fraud, waste, and abuse a top priority—bringing the durable...
Understanding DMEPOS Audits Best Practices
In today's healthcare environment, understanding the nuances of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) audits is crucial for ensuring compliance and maintaining the financial health of your practice. A small oversight...
August 28, 2025
Whether you're launching a new DMEPOS business, expanding your operations, or maintaining an existing supplier file, one thing is clear: accurate and up-to-date provider Medicare enrollment is essential to your success. How can HME businesses...
July 1, 2025
This blog was originally published by VGM Government Relations on July 1, 2025 On June 30, 2025, CMS filed the anticipated Proposed Rule that includes updates to the Competitive Bidding Program (CBP). Public comments are due 60 days from...
June 5, 2025
This blog was originally published by VGM Government Relations on June 4, 2025 The Centers for Medicare & Medicaid Services (CMS) appear to be laying the groundwork for another round of the Competitive Bidding Program (CBP). While full implementation...
Out with the old RAC and in with the new
On April 28, 2025, CMS awarded Cotiviti GOV Services LLC, the new RAC Recovery Audit Contractor (RAC) Region 3, 4, and 5 contracts. RAC Region 5 includes jurisdictions: JA, JB, JC, JD, as well as the HH/H MACs: J6, J15, JK, and JM. Performant,...
April 14, 2025
In December 2024, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) issued a Notice of Proposed Rulemaking (NPRM) to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule...