WASHINGTON, DC – As AAHomecare noted last week, CMS has streamlined DMEPOS Medicare order requirements, replacing multiple order types with a Standard Written Order.
The new guidance offers these benefits: fewer elements will be required on all orders, the elements are standardized, and there is flexibility for doctor name or NPI, and for beneficiary name or MBI.
Some questions remain on many of the instructions that have been issued so far from the DME MACs. AAHomecare has convened a subgroup to evaluate the guidance issued and will work with the DME MACs for additional clarification.
AAHomecare officials believe this is positive development for HME and after additional clarification on some of the elements, suppliers will be able to implement an easier order process.
AAHomecare Engages CareCentrix on Copay Collections
WASHINGTON, DC – AAHomecare has heard from several HME providers who will be impacted by CareCentrix’s policy of withholding payments to providers on PAP and PAP supply patients with copay balances for more than 180 days, which became effective Jan. 1.
AAHomecare registered concerns with CareCentrix regarding this policy on behalf of the provider community and asked for information on the overall scope of accounts affected and how providers can get information on which of their patients will fall under this issue.
CareCentrix has responded by developing potential impact reports for individual providers and is offering one-hour online training sessions to help companies understand and adapt to the policy change running though the first quarter of 2020. Sessions are currently scheduled for Jan. 9, Jan. 14, Feb. 6, and Feb. 12. AAHomecare learned that Carecentrix has begun sharing information on patients that will be impacted by this change. If you do not receive this information you can contact Jason Halstead (Jason.firstname.lastname@example.org) to request patient impact data.
Providers can see the CareCentrix provider portal or can contact their Network Manager for additional information. AAHomecare will continue to monitor the rollout of this policy change and provide feedback to CareCentrix on how it is impacting the HME provider community.
Comments Submitted on Stark Law and Anti-Kickback Statute
WASHINGTON, DC – AAHomecare submitted comments to two proposed rules published by CMS and HHS Office of Inspector General (OIG) on updating regulations for the Stark Law and the Anti-Kickback Statute. Both rules had the goal of updating regulations to improve patient care coordination and reducing regulatory burden. AAHomecare concurred with many of the updates with the rules but recommended DMEPOS suppliers to be included in the definition of Value Based Enterprise participant and Value-Based Arrangements. The comments for the proposed rules were due on December 31, 2019, and there is no defined timeframe in which CMS and OIG are required to finalize the rules.