4 Things to Know about CMS’s DMEPOS Proposed Rule
Watch for streamlining of claims & new fee schedule determinations
Every year, the Centers for Medicare & Medicaid Services (CMS) issues a “notice of proposed rulemaking” in the summer, proposing regulatory changes impacting the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) benefit. Those changes are generally finalized around Nov. 1 and put into effect the following Jan. 1. Last year, CMS made dramatic changes to the DME competitive bidding program (CBP), including raising the bid price to the clearing price. This year, CMS’s July 29, 2019 DMEPOS proposed rule contains three distinct regulatory proposals and a “Request for Information.”
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