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CMS corrects DMEPOS fee schedule

CMS corrects DMEPOS fee schedule

WASHINGTON – CMS published a revised January 2021 DMEPOS fee schedule with adjustments to 919 codes, AAHomecare reported this week. 

The agency says it identified errors in the original fee schedule published on Dec. 11, 2020, prompting it to make the adjustments. 

On average, non-rural areas will receive 0.9% more and rural areas will receive 0.5% more than the original fee schedule, according to an analysis by AAHomecare. 

A small portion of the fee schedule (8%) has more significant adjustments ranging between a 30% decrease to a 57% increase, mostly for codes with KE modifiers, the association says. 

AAHomecare previously expressed its concerns to CMS that the 2021 fee schedule included rates in rural and non-rural areas that were, on average, slightly lower than the rates in the 2020 fee schedule. 

Providers that submitted claims prior to Jan. 26, 2021, who were paid an incorrect amount may request the DME MAC to reprocess their claims, the association says. 



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