tci Medicare Compliance & Reimbursement - 2003 Issue 33

DME: SUPPLIERS IN FOR CPAP SLAP

Coding change for respiratory assist devices could spell trouble.Durable medical equipment suppliers could face a wallop to their wallets under a fee schedule change proposed Aug. 22 by the Centers for Medicare & Medicaid Services. In a proposed rule published in the Federal Register, CMS says it plans to overhaul the way it pays for respiratory assist devices with bi-level capability and a back-up rate. The changes affect continuous positive airway pressure device codes K0533 and K0544. CMS' plan: to include those HCPCS codes in the capped rental part of the fee schedule, a move that makes them...

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