Author: DME INFO

Current Orthopedic and DME news and resources.

CMS has issued its transmittal to accompany the 2014 DMEPOS fee schedule

Posted on by DME INFO

CMS has issued its transmittal to accompany the 2014 DMEPOS fee schedule update at http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2013-Transmittals-Items/R2836CP.html?DLPage=1&DLSort=1&DLSortDir=descending).  The reimbursement update factor this year is 1%. The transmittal includes a discussion of specific coding and pricing issues, including policies regarding the new off-the-shelf (OTS) orthotic codes.  CMS confirms in the transmittal that the 2014 fee schedule amounts for existing codes will be crosswalked to the corresponding new codes added for the items furnished OTS, so the reimbursement is the same for the new OTS codes as it is for the existing codes.

 

Please be aware that CMS also notes that “Section 1847(a)(2)(C) of the Act mandates implementation of competitive bidding programs throughout the United States for awarding contracts for furnishing off-the-shelf (OTS) orthotics which require minimal self-adjustment for appropriate use and do not require expertise in trimming, bending, molding, assembling, or customizing to fit the individual.”  The transmittal, however, does not provide any further detail in respect to when CMS might subject orthotics to competitive bidding.

Provider Services Portal Invitation

Posted on by DME INFO

The Centers for Medicare & Medicaid Services (CMS) authorized NHIC, Corp. to design and operate the Provider Services Portal (PSP) to offer DME MAC Jurisdiction A suppliers a means to access beneficiary eligibility and claims information over the Internet. PSP offers an electronic, web-based alternative to the processes of calling or writing the Customer Service Center, or calling the IVR for information.

PSP offers the following information through lookup transactions:

  • Beneficiary Eligibility
  • Claim Status
  • Standard Paper Remittance (SPR)
  • Same/Similar

PSP is available 24 hours a day, 7 days a week, except during scheduled maintenance windows.

At this time, NHIC is offering PSP Open Enrollment to all DME MAC Jurisdiction A suppliers.  Please click here for more information

Physician Payment Sunshine Law

Posted on by DME INFO

Tracking of payments and other transfers of value in accordance with the Physician Payment Sunshine Law began August 1st of this year.  All payments and transfers of value between medical device manufacturers and physicians and teaching hospitals will be posted on a public website on September 30 2014.  If you would like to learn more about this new law, you can visit DJO’s Sunshine Site at http://www.djoglobal.com/corporate-info/compliance/physician-sunshine.  You may also access our DJO Global Sunshine Brochure here:  DJO Sunshine Act Brochure.

Medicare Provider-Supplier Enrollment

Posted on by DME INFO

CMS has established Internet-based Provider Enrollment, Chain and Ownership System (PECOS) as an alternative to the paper (CMS-855) enrollment process. Internet-based PECOS will allow physicians, non-physician practitioners and provider and supplier organizations to enroll, make a change in their Medicare enrollment, view their Medicare enrollment information on file with Medicare, or check on status of a Medicare enrollment application via the Internet. For more information about the Internet-based PECOS, please CLICK HERE