by Wyn Staheli, Director of Content - innoviHealth
Sep 1st, 2025
On August 21, 2025, CMS released a MedLearn Matters article regarding home-based noninvasive positive pressure ventilation to treat chronic respiratory failure due to chronic obstructive pulmonary disease. The effective date is June 9, 2025, but the implementation date is October 22, 2025. Be sure to review your policies and procedures regarding the billing of respiratory assistance devices (RADs) and home mechanical ventilators (HMVs) to ensure that coverage criteria are met.
For example, according to the article "CMS has determined that evidence is sufficient to cover RADs (see National Coverage Determination (NCD) Manual, Chapter 1, Part 4, section 240.9) with or without a backup rate feature and to cover HMVs in the home to deliver highintensity noninvasive ventilation (NIV) to treat patients with chronic respiratory failure (CRF) due to chronic obstructive pulmonary disease (COPD)."
Please review the policy changes and coverage criteria by clicking HERE.
About Wyn Staheli, Director of Content - innoviHealth
Wyn Staheli is the Director of Content Research for innovHealth. She has over 30 years of experience in the healthcare industry. With her degree in Management Information Systems (MIS), she has been a programmer for a large insurance carrier as well as a California hospital system. She is also the author and editor of many medical resource books and the founder of InstaCode Institute.
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