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February 1, 2022 DME Documentation Orthotics Respiratory Ventilators Wheelchairs By Donna Youngblood, RN, Clinical Consultant at The van Halem Group
CMS released its long awaited Master List on January 12, 2022 with new codes being added to both the Master list and Required List. In addition, they have added Power Operated Vehicles... July 1, 2021 On June 30, 2021, the U.S. Food and Drug Administration (FDA) published a safety communication to their website. The FDA communication urges patients using the affected devices to talk to their health care providers to determine a suitable treatment... November 11, 2020 Carrie Nienberg, RN, CPC, Director of Clinical Operations
On August 25th, 2020, CGS conducted a webinar on the National Coverage Determination (NCD) coverage criteria and documentation requirements for ventilators. During the webinar, the following... April 9, 2020 Just announced, CMS has removed the non-invasive ventilators (NIV) product category from Round 2021 of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program in response to the novel COVID-19 pandemic.... April 8, 2020 By Carrie Nienberg, RN, Director of Clinical Operations
Effective immediately, you as a supplier may provide and bill E0467, multi-function ventilator, as an upgrade when the beneficiary only qualifies for the ventilator. Until now, the beneficiary... March 8, 2019 On Thursday, March 7, 2019, CMS published a post to their blog providing DMEPOS Suppliers a glimpse into what to expect for the next round of Competitive Bidding. The DMEPOS Competitive Bidding Program was implemented on January 1, 2011. The Round 1... December 28, 2018 By Carrie Nienberg, RN, CPC, Director of Clinical Operations
Effective January 1st, 2019, E0467 can be billed to Medicare for reimbursement. An E0467 is defined as "a home ventilator, multi-function respiratory device, also performs any or all of... November 27, 2018 On November 5, 2018, CMS posted the call for public comments regarding the potential for ventilators and off-the-shelf back and knee braces to be phased-in for the next round of the DMEPOS Competitive Bidding Program.
Per the CMS website:
The... June 1, 2018 The Office of Inspector General (OIG) has added noninvasive home ventilators to their active work plan items. Recently announced on the 'Active Work Plan Items' list, the audit details are as follows:
For items such as noninvasive home ventilators (NHVs)...