Regulatory updates from AAHomecare: Oxygen payments, supplier standards

Tuesday, November 29, 2016

Starting April 1, 2017, the fee schedule amount for stationary oxygen equipment will be increased if either of the following applies: 1.) if the prescribed amount for stationary equipment exceeds 4 liters per minute, the amount will be increased 50%; or 2.) if portable oxygen is prescribed, the amount for portable equipment will be added to the amount for stationary equipment. If both situations apply, the DME MACs will have to use the higher amount of the two, but they cannot use both adjustments…CMS has agreed to limit its reviews of whether or not a provider meets supplier standard #5 to those that provide enteral pumps and/or Group 3 power wheelchairs. The standard states that, “A supplier must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased DME and of the purchase option for capped rental equipment.” Although enteral pumps and Group 3 power wheelchairs are the only items that are subject to the standard, AAHomecare heard from its membership that inspectors were conducting this review for other items.