tci Medicare Compliance & Reimbursement - 2006 Issue 17

CMS: Nebulizer Payment Revisions Demand Proof Of Medical Necessity

Providers:  Don't miss the draft LCD--and a chance to comment.Providers who bill Medicare for nebulizer equipment, related supplies or drugs will need to be ready with proof of medical necessity.The Centers for Medicare & Medicaid Services recently assigned the new durable medical equipment Program Safeguard Contractors the task of revamping Medicare's nebulizer-related payment policies. And the PSCs have delivered--they recently issued a hefty 23 pages outlining future coverage.The changes are significant departures from current policy, reports respiratory therapist Harold Davis, a specialist for The VGM Group's respiratory division in McRae, AR.The local coverage determination includes...

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