- October 23, 2019
- Posted by: Thomas Anderson
- Categories: DME Billing, DME Billing Services
As CMS has released the final ESRD/DMEPOS final rule, it is surely a mixed bag. It surely has some reimbursement, competitive bidding reforms for which the HME/DME stakeholders have been shouting for long! The final rule definitely has some innovative measures / changes ahead with the Medicare ruling for end stage disease programs as well as durable medical equipment. It aims to extend continued access to durable medical equipment with significant advances to the competitive bidding system.
By simplifying the overall bidding process, it is surely one step ahead to introduce a market oriented reform with the Medicare’s DMEPOS competitive bidding program. It is going to reduce the burden on the DME suppliers. The three main additional reforms aim to raise the reimbursement rates in the CBA’s during the gap period for bidding. There will be extended rural relief to all the non competitive bidding areas. Also, improved access to liquid oxygen will be a key reform ahead.
It essentially implies that there will be exciting market opportunities ahead for both the bid winners as well as the non bid winners. Suppliers, retailers will have access to a large number of Medicare customers and will have a chance to increase their business viability. However, they will have to set the right priorities with their practice management and billing efforts so that they can leverage the benefits of the chances in the Competitive Bidding program.
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