WASHINGTON, D.C. (May 29, 2020)—Last year’s Omnibus bill included a provision to exempt manual complex rehab technology (CRT) accessories from bidding derived prices for an 18-month period starting January 1, 2020. Late last week, The Centers for Medicare & Medicaid Services (CMS) published guidance on reprocessing the manual CRT accessories claims with dates of service between January 1-June 30, 2020. The list of codes that can be reprocessed starts on page 9 of the Change Request 11635.
In the new guidance, suppliers are directed to fill and submit the Reopening Request forms available on the DME MAC websites. Suppliers need to fax the completed forms to the appropriate DME MAC fax numbers that is listed at the bottom of the form. CMS published the following instructions on filling out the forms:
- For “Supplier Information“—Complete all fields
- Important— list all PTANs for which you request these reopenings
For “Beneficiary Information”—Complete only as follows:
- Reason for Adjustment: Check “Other”
- Comments: State “Please adjust my previously processed claims for the PTAN(s) listed above for the HCPCS covered in CR 11635.”
Below are the links to the DME MAC Reopening Request Forms:
You can find the full announcement under, “Update regarding Implementation of Section 106 of the Further Consolidated Appropriations Act, 2020” on CMS’ website.