Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Benefit Category Determinations
Updates And Effective Dates: Effective January 1, 2024, for 3 orthotic brace determinations. Effective April 1, 2024, for all other items, equipment, and devices. Implementation Date: July 15, 2024. Manual Changes: The document specifies updates to Pub. 100-02, Chapter 15, Section 110.8 regarding DMEPOS Benefit Category Determinations. Funding For MACs: Medicare Administrative Contractors (MACs) are […]
Clarification of Liability for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims Overlapping Inpatient Hospital Stays
Summary of Changes: Purpose: Update the denial liability for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) claims that overlap inpatient hospital stays from patient responsibility to contractual obligation. Effective Date: July 1, 2024. Implementation Date: July 1, 2024. Manual Instructions: There are no changes in the manual instructions for this CR. Funding: This CR […]
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule from the Centers for Medicare & Medicaid Services (CMS).
Effective And Implementation Dates: The updates are effective and to be implemented on July 1, 2024, except for HCPCS codes E2298 and K1007, which were effective April 1, 2024. Purpose of the Update: The update aims to implement fee schedule amounts for new and existing codes and apply changes in payment policies. The update process […]
