CMS releases 2013 fee schedule

Thursday, December 13, 2012

WASHINGTON – Most HME providers will see a tiny increase in pay next year.

CMS on Dec. 13 posted the fee schedules on its website.

Medicare bases its formula on the Consumer Price Index-Urban (CPI-U), plus or minus a productivity value. This year, the productivity adjustment was a decrease of 0.9% and the CPI-U increased 1.7%, resulting in a net increase of 0.8% for non-bid providers. The rates are adjusted for inflation.

CMS also updated the monthly payment amount for stationary oxygen equipment (HCPCS codes E0424, E0439, E1390, and E1391): The new payment amount is $177.36, up from last year’s $176.06. 

The 2013 payment amount for maintenance and servicing for oxygen equipment also increased from $67.51 to $68.05.

Medicare updates the fee schedule annually. 

The new rates are effective Jan. 1, 2013.

The downloadable fee schedule file is available here.  

Read the MLN Matters article about the changes here.