tci Medicare Compliance & Reimbursement - 2006 Issue 13

REIMBURSEMENT: Class III DME Could Lose Out On Payment Update

Rapid spending growth, pre-marketing costs for high-risk devices concern GAO.Class III durable medical equipment devices won't have their own distinct annual payment update on the DME fee schedule if the Government Accountability Office gets its way.Congress should establish a uniform payment update to the DME fee schedule for 2008 for both class II and III devices instead of updating class III devices uniquely, the GAO recommends in a recent report.The Department of Health and Human Services should also provide a uniform payment update to the 2007 DME fee schedule for these devices, the GAO recommends. HHS...

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