Additional Time to Establish Protocols for Newly Required Face-to-Face Encounters for DME Due to concerns that some providers and suppliers may need additional time to establish operational protocols necessary to comply with face-to-face encounter requirements mandated by the Affordable Care Act (ACA) for certain items of Durable Medical Equipment (DME), CMS will start actively enforcing … Continue Reading
The 2013 Medicare Physician Fee Schedule was posted by CMS today. 27% SGR Reduction The most significant issue, of course, will be the proposed 27% Medicare physician fee schedule reduction which will be statutorily imposed because of the sustainable growth rate formula. I am sure everybody is familiar with the annual debacle over the last decade … Continue Reading
The Patient Protection and Affordable Care Act (PPACA) contains several provisions aimed to reduce fraud and abuse in home health and Durable Medical Equipment (DME) programs, which CMS and OIG consider to be high risk programs. Effective July 1, 2010, physicians who order covered home health or DME services must be enrolled in Medicare (§ 6405). … Continue Reading
