The new prospective payment system proposed rule from the Centers for Medicare & Medicaid Services (CMS) is clarifying that a face-to-face examination is not always needed for replacement durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) orders. CMS also released a fact sheet on July 1, the same day as the Calendar Year 2027 Home…
Medicare Proposed Rule: Eliminate Face-to-Face Requirement for Replacement DMEPOS
DMEPOS Suppliers Lead Medicare in Improper Payment Errors: MedPAC
The error rate for DMEPOS suppliers reached 24.2%, nearly four times the overall Medicare fee-for-service improper payment rate.
Providers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) posted the highest improper payment rate among all Medicare provider types in fiscal 2025, with documentation failures driving the majority of errors that cost the federal program billions of dollars. The error rate for DMEPOS suppliers reached 24.2%, which was nearly four times the overall…
Mobility Management Webinar: Optimizing Reimbursement with Clinical, Intake Best Practices
The presentation, sponsored by ACU-Serve, is free to attend.
Yes, wheels make the wheelchair go round in Complex Rehab Technology — but getting those wheels rolling requires proper reimbursement. And that reimbursement hinges on providing the right documentation in an efficient and accurate way. Our May 19 webinar — Clinical and Intake Best Practices: Optimizing Reimbursement, sponsored by ACU-Serve, will discuss the best ways…
Medicare Changes to 5-Year PMD Prior Authorization Rule: Inside the Clinician Task Force Response to CMS
CTF Executive Director Tamara Kittelson said clinical assessments directly impact wheelchair provision outcomes.
Are you exactly the same person today — physically, cognitively, task wise — as you were five years ago? That’s the basic and critical question behind the Clinician Task Force’s (CTF) recent letter to the Centers for Medicare & Medicaid Services (CMS) concerning CMS’s recent change to the Medicare five-year replacement rule for prior authorization…
Numotion Launches LMN Navigator to Facilitate Documentation Process
The new system can support therapists and other health-care professionals with limited seating evaluation experience.
Numotion has introduced a way to facilitate the intensive, highly detailed documentation work required for Complex Rehab Technology (CRT) orders. The new LMN [letter of medical necessity] Navigator is “a first-of-its-kind documentation platform designed to streamline, simplify and strengthen the process of completing mobility evaluations,” Numotion said in a Sept. 10 news announcement. “LMN Navigator…
NikoHealth Introduces Electronic Medical Attachments Feature
Cloud-based business management system was especially designed for the HME segment.
NikoHealth’s latest introduction to its cloud-based business management system is designed to improve efficiencies between home medical equipment suppliers — including Complex Rehab Technology providers — and funding sources. In a Nov. 28 announcement, NikoHealth launched its Electronic Medical Attachments function, which the company said is “revolutionizing the way durable medical equipment (DME) suppliers interact…