Legislation & Public Policy


Registration Open for CRT Conference

Three-day event features education, advocacy and Capitol Hill visits.

DME MACs Announce Addition of K0900 Customized Code

Code is reserved for customized equipment not able to be grouped with other product types.

Medicare Announces Intent to Pay for Repairs to SCOOTER Store PMDs

Transfer of PMD ownership to Medicare beneficiaries clears a path for other providers to step in.

NHIC Reports Q3 K0823 Review Results

Jurisdiction A DME MAC announces a charge denial rate sharply lower versus previous quarters.

ICD-10 Testing Week Scheduled for March

The DME MAC and CEDI event is in preparation for October implementation.

Stakeholders Seek to Elevate CMS Capped-Rental Discussion

Controversial final rule has industry taking its arguments to Congress.

"Dear Physician" PECOS Letter Now Available

Implementation affecting DMEPOS prescriptions will start in January.

CMS Finalizes Capped-Rental DME Reclassifications

Despite the many comments submitted by different factions, the final CMS rule looks much like the proposed rule that came before it.

Editor's Note

Bigger Picture, CMS, Bigger Picture

NGS Announces Q3 Denial Rate for Prepayment Power Chair Review

Denial rate is reported to be higher than the previous quarter's.



NHIC Describes CERT Errors on Wheelchair Claims

Sample claims are said to be representative of the most commonly seen mistakes.

NHIC Announces Upcoming IVR Limitations

Expect some Jurisdiction A information to be inaccessible this week.

CRT Separate Benefit Bills Gain Momentum

Thanks to an August push, the U.S. House and Senate bills added co-sponsors during recess.

CGS to Start Medical Review for Catheters

Suppliers will be asked for additional documentation to support affected claims.

NGS: Establishing Medical Necessity Is Still a Problem for Reviewed Power Chair Claims

Jurisdiction B DME MAC has released quarter 2 prepayment review results.

Industry Responds to CRT Capped-Rental Proposed Rule

Medicare's justification: On average, beneficiaries use equipment for just eight months.

DME MACs Seek Provider Feedback

Providers who register could be chosen by CMS to give input about MAC services.

DME MAC A Announces K0823 Review Results

Incomplete documentation for medical necessity is cited as common denial cause.

CRT Update: Congressional Staffers Invited to July 15 Briefing

Event's goal is to educate staffers on current House and Senate separate benefit bills.

CMS Postpones DME Face-to-Face Implementation

New requirement will impact many types of DME, including manual wheelchairs.

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