tci Medicare Compliance & Reimbursement - 2005 Issue 20

DME: Inhalation Drug Denials Leave Many Suppliers Gasping

... but CMS pledges to set DMERCs straight on G codes.Durable medical equipment providers that have been experiencing inexplicable denials for inhalation drug dispensing fees should know they're not alone - and that federal officials have promised to fix the problem.The denial issue came up at the Centers for Medicare and Medicaid Services' Open Door Forum for home health, hospice and durable medical equipment providers on April 21.DME regional carriers are denying code G0371, the dispensing fee for inhalation drugs, reported Paul Gabos, CFO for Clearwater, FL-based Lincare Holdings. The problem has been occurring in all regions...

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