CMS Home Health Open Door Forum Next Week

The Centers for Medicare & Medicaid Services (CMS) is hosting its next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum Wednesday, June 26, 2013 from 2:00p.m.-3:00p.m., ET. To participate, dial 1-800-837-1935 and reference Conference ID# 97842778.

Click here for more information.

CMS Clarifies July 1 DME Order Changes

As previously reported on the HMS blog, orders for certain items of Durable Medical Equipment (DME) for Medicare patients must come after a face-to-face encounter with the beneficiary starting July 1, 2013. Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released a MLN Matters as well as CR 8304 with detailed information and instructions related to the change.

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July 1 DME Order Changes

Beginning July 1, orders for certain items of Durable Medical Equipment (DME) for Medicare patients must come after a face-to-face encounter with the beneficiary. This requirement was included in the Patient Protection & Affordable Care Act (PPACA) and finalized as part of the 2013 physician fee schedule.

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Phase 2 Ordering/Referring Edits Effective May 1

The Centers for Medicare & Medicaid Services (CMS) recently announced they will move forward with Phase 2 of the ordering/referring edits effective May 1. These requirements apply to ordered/referred items and services including Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), clinical laboratory and imaging services, and home health claims billed by Medicare Part B suppliers.

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Next Home Health, Hospice & DME Open Door Forum

The next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum is scheduled for Wednesday, February 20, 2013 at 2:00p.m. ET.

To participate, dial 1-800-837-1935 and enter Conference ID 78869441. An agenda will be sent to registrants before the call.

Home Health, DME Contribute To Area Variations Of Medicare Services

HMS Healthcare Management SolutionsA new study by The Commonwealth Fund shows a geographic variation in the use of health care by Medicare fee-for-service beneficiaries.  Two service categories, durable medical equipment and home health care, are disproportionately responsible for such variations and might be a sign of fraud and abuse.

Click here to read the report.