decisionhealth Newsletters, Part B News - 2007 Issue 4 (April)
Physicians exempt from DME bidding, must accredit by 2010
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Article Overview
This article explains CMS updates affecting durable medical equipment billing under the Medicare competitive bidding program, including the physician-related exemption, the rollout timeline, and the accreditation requirement for practices that bill DME. It also summarizes related Medicare Advantage planning data and benchmark updates that matter to practices tracking Medicare payment and plan information. The piece is relevant to physician practices, billing staff, and revenue cycle teams that handle Medicare DME and managed care information.
Why This Topic Matters
Practices that furnish or bill for durable medical equipment need to understand how CMS competitive bidding and accreditation changes affect participation, reimbursement, and operational readiness. The article also points readers to Medicare Advantage enrollment and plan directory resources that may help with patient coverage and plan research.
Article Sections
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DME competitive bidding and physician billing
Discusses CMS competitive bidding changes for durable medical equipment and the physician-related exception described in the article. It also addresses the general timing of implementation and the broader policy context.
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Practices must get accredited
Summarizes the accreditation requirement for practices billing Medicare for DME and the operational considerations mentioned by CMS. The section references accreditation organizations and quality standards at a broad level.
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MA plan data available online
Describes online Medicare Advantage enrollment and plan directory resources made available by CMS. It also covers the article’s overview of plan information, county-level availability, and benchmark updates.
What You Will Learn
- How CMS competitive bidding changes affect physician practices that furnish DME
- What the article says about accreditation requirements for billing Medicare DME
- Where CMS-related Medicare Advantage enrollment and plan directory information can be found
- How the article frames broader Medicare payment and implementation timelines
Who Should Read This
- Physicians
- Medical office managers
- Billing and coding staff
- Revenue cycle teams
- Durable medical equipment suppliers
- Medicare compliance staff
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