DMEPOS: Payment for Group 3 Complex Rehabilitative Power Wheelchair Accessories Effective July 1

CMS is adopting a new interpretation of the statute that impacts how adjustments to the fee schedule based on information from competitive bidding programs apply to wheelchair accessories used with group 3 complex rehabilitative power wheelchairs. Effective July 1, fee schedule amounts for wheelchair accessories and back and seat cushions used with group 3 complex rehabilitative power wheelchairs will not be adjusted using information from the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program.  The fee schedule amounts will be based on the unadjusted fee schedule amounts updated by the annual fee schedule covered item update.  Suppliers should continue to use the KU modifier when billing for wheelchair accessories and seat and back cushions furnished in connection with Group 3 complex rehabilitative power wheelchairs with dates of service beginning July 1, 2017.  

CMS explains its current policy and interpretation of this issue through an FAQ on the DME Center web page.

More Items in June 2017

• Jun 29, 2017 - By CMS.gov
  New Medicare Number: Prepare Your Systems for April 2018
• Jun 29, 2017 - By CMS.gov
  MLN Homepage Return to List Date 2017-06-29 Subject MLN Connects for June 29, 2017 MLN Connects banner Thursday, June 29, 2017 News &
• Jun 29, 2017 - By CMS.gov
  Changes to the Payment Error Rate Measurement and Medicaid Eligibility Quality Control Programs (CMS-6068-F)
• Jun 29, 2017
  CMS Proposes 2018 Policy and Payment Rate Changes for End-Stage Renal Disease Facilities
• Jun 20, 2017
  CMS Overpaid Providers $729 Million in Incentive Payments
• Jun 08, 2017 - By CMS.gov
  The Centers for Medicare & Medicaid Services (CMS) seeks public input on reducing the regulatory burdens of the Patient Protection and Affordable Care
• Jun 06, 2017
  United States Intervenes in Second False Claims Act Lawsuit Alleging that UnitedHealth Group Inc. Mischarged the Medicare Advantage and Prescription D

To view more items select a month from our "Items by Month" list.

Or view documentation, coding and billing articles.