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DMEPOS

  • Understanding CMS’s New Accreditation Rules—Including Annual Surveys

    The 2026 CMS rule changes for DMEPOS accreditation introduce annual on-site surveys & new compliance requirements
    Read More →: Understanding CMS’s New Accreditation Rules—Including Annual Surveys

  • Review Your Provider Enrollment Status to Avoid Costly Errors

    Make your list and check it (at least) twice
    Read More →: Review Your Provider Enrollment Status to Avoid Costly Errors

  • The Top 10 Articles of 2019

    Round 2021, PDGM & better business processes led the way
    Read More →: The Top 10 Articles of 2019

  • 4 Things to Know about CMS’s DMEPOS Proposed Rule

    Watch for streamlining of claims & new fee schedule determinations
    Read More →: 4 Things to Know about CMS’s DMEPOS Proposed Rule

  • In Brief: Legislative Roundup

    Catching up with the 115th Congress
    Read More →: In Brief: Legislative Roundup

  • Documentation Is Critical to a Successful Medicare Part B Audit

    Billing errors can result in audits and repayment of claims by the provider to Medicare
    Read More →: Documentation Is Critical to a Successful Medicare Part B Audit

  • Common Accreditation Deficiencies

    Accreditation Now
    Read More →: Common Accreditation Deficiencies

  • Decoding CMS Referral Data

    In early October, the Centers for Medicare & Medicaid Services (CMS) released new data which provides a wealth of information related to durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) provided to Medicare beneficiaries via referrals from physicians and other health care professionals. The 2013 data set is called, “The Referring Provider Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Public Use File” and is part of CMS’s Medicare Provider Utilization and Payment Data set. The new data includes information on 385,915 referring providers, more than 100 million claims and $11 billion in Medicare allowed payments for calendar year 2013. The data is posted on the CMS website at cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-provider-charge-data/dme.html. The data set identifies individual providers who referred DMEPOS items and services using their National…
    Read More →: Decoding CMS Referral Data

  • Congressional Recess Provides Opportunity to Reengage

    Congress is currently on its annual summer recess. This provides a great opportunity to schedule a local office meeting or, better yet, a site visit to your company to educate them on the challenges your company is having providing products/services to beneficiaries. Votes are expected on Medicare legislation throughout the fall, and priority issues include: legislation to modify CMS’s plans to apply bid rates in rural areas; legislation to stop the application of bid rates to exempt complex rehab wheelchair accessories; audit reform legislation; and separate recognition for complex rehab technology. Here is a guide to assist in your advocacy efforts. Application of Competitive Bidding Rates in Non-Bid Areas The latest industry draft of a legislative proposal to provide some relief to this application would:…
    Read More →: Congressional Recess Provides Opportunity to Reengage

  • The Rate Reality

    In addition to changing rates in non-bid locations, CMS plans to lower certain rates based on regional calculations, all under the guise of streamlining the bid program
    Read More →: The Rate Reality

  • You’ve Been Served

    Though far from common, OIG subpoenas are increasingly appearing in DMEPOS locations
    Read More →: You’ve Been Served

  • Improving the Medicare DME Bidding Program

    Answers to key questions about the legislation that will bring some relief to the bidding process
    Read More →: Improving the Medicare DME Bidding Program

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