tci Medicare Compliance & Reimbursement - 2004 Issue 20

DME: Trio Of Pricing Changes Threaten Wheelchair Pay

DME suppliers should prepare for face-to-face requirement.Suppliers have been suffering under Operation Wheeler Dealer for eight months, and the regulatory and reimbursement climate is only going to get worse. The Centers for Medicare & Medicaid Services has proposed some welcome changes in the next phase of its wheelchair initiative. Top on the list is expanding HCPCS coding for wheelchairs currently in the catch-all K0011 category.But that change will help only if it's "efficient," warns Erik Sokol with the Power Mobility Coalition. Seven new codes may be an improvement, while 70 would be going overboard, for...

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