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OIG Adds Oxygen and Wheelchair Repairs to the Work Plan

The Office of Inspector General (OIG) added two new DMEPOS items to their Work Plan for October 2024. See below for details.  Medicare Payments to Suppliers for Oxygen and Oxygen Equipment Medicare covers reasonable and necessary durable medical...

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DME MACs update wheelchair home assessment requirement

On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article.  Effective July 1, 2024, the following statement was REMOVED:  “When...

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DME MACs update wheelchair home assessment requirement

On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article.  Effective July 1, 2024, the following statement was REMOVED:  “When...

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Power Mobility Device (PMD) Accessory Voluntary Prior Authorization

CMS added the following PMD accessory HCPCS codes for voluntary authorization. The goal of this process is to increase operational simplicity by allowing suppliers to request prior authorization for a PMD accessory. The DME MACs will begin accepting...

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CMS Updates to Lists Related to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Conditions of Payment [CMS-6081-N]

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...

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