tci Medicare Compliance & Reimbursement - 2017 Issue 16

Industry Notes: DMEPOS Fee Adjustments Are in Full Swing

CMS issued a change request for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) in June to better align with 2016 fee schedule amounts and outlined in the Medicare Claims Processing Manual in Chapter 20, Section 20.6. The changes were “mandated by Section 16007 of the 21st Century Cures Act” and are being processed retroactively by the Medicare Administrative Contractors (MACs) across all jurisdictions, states the revised MLN Matters change request MM9968. MAC updates: DMEPOS suppliers should check their Medicare Remittance Advice statements as thousands ofclaims per day are adjusted, noted CGS Medicare in a release. More...

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