tci Medicare Compliance & Reimbursement - 2005 Issue 18

HOME HEALTH: Suck It Up- Lower Oxygen Rates A Reality

Previously paid claims will not be retro-adjusted.Oxygen suppliers who were holding their breath while waiting for the new Medicare rates can exhale now.Though many suppliers will be paid less for their oxygen wares, the cuts won't be as drastic as some durable medical equipment industry insiders had feared.The HHS Office of Inspector General has released its long-awaited report comparing Medicare and Federal Employee Health Benefit Plan rates for home oxygen equipment. The OIG concluded that FEHBPs' median payment rates are 12.4 percent lower than Medicare for stationary equipment and 10.8 percent lower for portable...

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