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Durable Medical Equipment, Prosthetics/Orthotics & Supplies Fee Schedules

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Updates


  Details for 06/18/2008
  

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Date 06/18/2008
Subject DMEPOS Competitive Bidding Program Begins July 1, 2008 -- Are You Ready?
Content The Medicare DMEPOS Competitive Bidding Program Begins July 1st - Just Two Weeks Away

The Medicare DMEPOS Competitive Bidding Program Begins July 1st - Just Two Weeks Away - Are You Prepared?

All Medicare Fee-For-Service (FFS) Providers: The Centers for Medicare & Medicaid Services (CMS) urges FFS providers and suppliers to understand the new Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding program. If your practice location is in one of the 10 Competitive Bidding Areas (CBA) you probably will be affected. If you are not located in a CBA, but treat Medicare patients who permanently reside in a CBA, you also need to understand the program. Be ready for July 1st, 2008.

All the information that you need to know as a DMEPOS supplier or an enrolled Medicare provider who refers beneficiaries for DMEPOS is available on the CMS DMEPOS Competitive Bidding dedicated website located at www.cms.hhs.gov/DMEPOScompetitivebid.

 New/Revised Provider Educational Products

DMEPOS Suppliers: CMS issued CR 6112, "Payment for Complex Rehabilitative Power Mobility Device Services that Span the Implementation Date of DMEPOS Competitive Bidding Programs in Competitive Bidding Areas". The companion MLN Matters article is now available on the CMS DMEPOS Competitive Bidding dedicated website.

All Medicare Fee-For-Service (FFS) Providers: Due to the release of CR6119 - Phase 2 of Manual Revisions to Reflect Payment Changes for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005 " many of the DMEPOS related Medicare Learning Network (MLN) products have been updated to reflect the changes in this new instruction. The revised products are now available on the CMS dedicated website.

For all products, go to www.cms.hhs.gov/DMEPOSCompetitiveBid, click on the Provider Educational roducts and Resources tab on the left, and scroll down to the "Downloads" section.

DMEPOS Suppliers that are Physical and Occupational Therapists

As stated in MLN Matters article SE0807, physical therapists and occupational therapists in private practice who are enrolled DMEPOS suppliers may eventually have the option to furnish certain types of competitively bid items to their own patients and be paid the single payment amount for such items without being contract suppliers, provided the following requirements are met:

The items are limited to off-the-shelf (OTS) orthotics; and

The items must be furnished only to their own patients as part of the physical or occupational therapy service.

However, this exception is not relevant in the first phase of the DMEPOS Competitive Bidding program beginning July 1, 2008. OTS orthotics are not included in the first phase of the Competitive Bidding program.


 
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Last Modified Date : 06/18/2008
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