Incontinence Supplies: A Comprehensive Guide to Billing Medicaid
Incontinence supplies, including diapers, liners, and underpads, are essential for many individuals who require assistance managing bladder and bowel control issues. Billing these supplies to Medicaid involves understanding the correct procedures, documentation, and coding requirements. This blog post will provide a detailed overview of the billing process, required documentation, and a list of HCPCS codes […]
July Quarterly Update For The 2024 Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) Fee Schedule From The Centers For Medicare & Medicaid Services (CMS).
Here are the key points from the update: Effective and Implementation Dates: The updates are effective and to be implemented on July 1, 2024, except for HCPCS codes E2298 and K1007, which were effective April 1, 2024. Purpose of the Update: The update aims to implement fee schedule amounts for new and existing codes and […]
Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Benefit Category Determinations
Updates And Effective Dates: Effective January 1, 2024, for 3 orthotic brace determinations. Effective April 1, 2024, for all other items, equipment, and devices. Implementation Date: July 15, 2024. Manual Changes: The document specifies updates to Pub. 100-02, Chapter 15, Section 110.8 regarding DMEPOS Benefit Category Determinations. Funding For MACs: Medicare Administrative Contractors (MACs) are […]
Clarification of Liability for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims Overlapping Inpatient Hospital Stays
Summary of Changes: Purpose: Update the denial liability for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) claims that overlap inpatient hospital stays from patient responsibility to contractual obligation. Effective Date: July 1, 2024. Implementation Date: July 1, 2024. Manual Instructions: There are no changes in the manual instructions for this CR. Funding: This CR […]
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule from the Centers for Medicare & Medicaid Services (CMS).
Effective And Implementation Dates: The updates are effective and to be implemented on July 1, 2024, except for HCPCS codes E2298 and K1007, which were effective April 1, 2024. Purpose of the Update: The update aims to implement fee schedule amounts for new and existing codes and apply changes in payment policies. The update process […]
CMS Manual System Transmittal 12645 – Key Highlights
Overview: Title: Update to Pub. 100-04 Medicare Claims Processing Manual, Chapter 23, Section 60.3 Gap-filling DMEPOS Fees Transmittal Number: 12645 Date: May 16, 2024 Change Request Number: 13617 Effective Date: June 17, 2024 Implementation Date: June 17, 2024 Summary: This transmittal updates the Medicare Claims Processing Manual to include new update factors for gap-filling purposes. […]
April 2024 Quarterly Update For The DMEPOS Competitive Bidding Program
Introduction The Centers for Medicare & Medicaid Services (CMS) has issued an update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) effective from July 1, 2024. This update provides instructions for updating the DMEPOS CBP files, including changes to the Healthcare Common Procedure Coding System (HCPCS), ZIP code, and […]
April 2024 Quarterly Update For DMEPOS Fee Schedule
Introduction The Centers for Medicare & Medicaid Services (CMS) has issued an update to the Medicare Claims Processing Manual regarding the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule. This update reflects changes for the April 2024 quarter and includes important revisions for claims with dates of service starting January 1, 2024. Key […]
Summary of Quarterly Update: April 2024 DMEPOS Competitive Bidding Program
Effective Date: January 1, 2024 Implementation Date: January 2, 2024 Purpose: Annual update to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule. This includes new and existing codes and changes in payment policies as detailed in the Medicare Claims Processing Manual, Chapter 23, Section 60. Key Updates: New Payment Amounts: Implemented for […]
Update to Medicare Benefit Policy Manual: DMEPOS And Lymphedema Compression Treatment Items
Introduction The Centers for Medicare & Medicaid Services (CMS) has issued an update to the Medicare Benefit Policy Manual, specifically addressing Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and the inclusion of lymphedema compression treatment items. These changes aim to clarify benefit category determinations and introduce new coverage for lymphedema treatments. Key Changes DMEPOS […]
