decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 5 (May)
DMEPOS: Physicians need not bid as 'suppliers' to provide crutches, walkers to their own patients
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Article Overview
This article explains CMS guidance on the Medicare DMEPOS Competitive Bidding Program and how it affects physicians and other treating professionals who furnish certain durable medical equipment and related items to their own patients. It is relevant to providers, billing staff, and coding/compliance professionals tracking Medicare Part B policy changes, CMS implementation details, and the categories of DMEPOS included in the initial rollout.
Why This Topic Matters
The article clarifies how a new Medicare competitive bidding initiative interacts with the furnishing of certain DMEPOS items in a clinical setting. Readers who work with Medicare policy, provider compliance, or outpatient billing can use it to understand the scope of the program and the groups discussed by CMS.
Article Sections
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Background
Introduces the new Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics, and supplies and describes its initial implementation scope. It also places the announcement in the context of CMS rulemaking and phased rollout.
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Provider furnishing of selected DMEPOS items
Summarizes CMS guidance for physicians and other treating professionals who may furnish certain items to their own patients as part of professional services. The section focuses on the general policy implications for participating providers and the types of care settings mentioned in the article.
What You Will Learn
- How CMS framed the early Medicare DMEPOS competitive bidding program
- Which types of clinicians were discussed in the guidance
- What broad categories of DMEPOS items were addressed by the article
- How the article situates CMS rulemaking and forum commentary around the program
Who Should Read This
- Physicians
- Physician assistants
- Clinical nurse specialists
- Nurse practitioners
- Occupational therapists in private practice
- Physical therapists in private practice
- Billing and coding professionals
- Compliance staff
- Medicare policy analysts
Codes Discussed
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