DME
coders will have to be prepared for coding changes coming their way. For DME
providers, the only way to survive 2020 will be through hiring experienced
coders or by letting an reliable third party handle the challenges of DME
billing.
Proposed
Rule by CMS
The
DMEPOS fee schedule has
been updated by the CMS and several new codes have been added to the HCPCS
file. For instance, DMEPOS fee schedule file includes fees for three home
infusion G-codes - G0068, G0069 and G-0070. For other new CY2019 codes, the fee
schedule amounts will be established under DMEPOS fee schedule update.
Fees
have also been added for new HCPCS code (E0467). Fee schedule amounts are also
being adjusted for shoe medication codes and mail order DTS. For CY2019, update
factor of 2.3% has been applied to few DMEPOS fee schedule amounts. CMS is also
implementing monthly fee schedule payment amounts for stationary oxygen
equipment.
It has been
published by the CMS in order to drive innovation in DME and also to modernize
it. Here are some of the highlights of this proposed rule:
• Starting and
until CBP contracts are awarded, it has been proposed that the beneficiaries
will be receiving DME items from any
Medicare enrolled DME supplier.
• For DME
furnished, CMS has proposed traditional fee schedule amounts.
• For non-CBAs that
are non-contiguous or rural areas, items furnished will be paid at 50/50 rates
and for non-CBAs; items furnished will be paid at current payment rates.
• CMS has proposed
new payment classes for portable oxygen and oxygen equipment, new payment rules
for ventilators and has improved payment rates for new DMEPOS items.
In
2019, CMS released the proposed rule that included potential changes to the DME payment rates. This
long-awaited proposed rule is being considered positive because it includes
vital improvements for payment in non-bid areas along with improvements to the
CBP (Competitive Bidding Program).
About 247
Medical Billing Services:
We
are a medical billing company that offers
‘24/7 Medical Billing Services’ and support physicians, hospitals,
medical institutions and group practices with our end to end medical billing
solutions. We help you earn more revenue with our quick and affordable
services. Our customized Revenue Cycle Management (RCM) solutions allow
physicians to attract additional revenue and reduce administrative burden or
losses.
Contact:
247 Medical Billing Services
Tel: +1 888-502-0537
Email: info@247medicalbillingservices.com
Contact:
247 Medical Billing Services
Tel: +1 888-502-0537
Email: info@247medicalbillingservices.com
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