CMS releases updated fee schedule

Thursday, December 10, 2015

WASHINGTON – After finding several errors in its revised 2016 DMEPOS fee schedule, CMS has posted an updated version to its website, AAHomecare has announced.

The fee schedule maps out adjusted payment amounts for 11 product categories as part of the national roll out of competitive bid pricing on Jan. 1.

The first version of the revised fee schedule was released on Nov. 23.

CMS has developed payment amounts for non-bid areas by using the average pricing in the competitive bidding areas in the region for regional areas, and the national weighted average plus 10% for rural areas.

The agency plans to phase-in the new pricing over six months. Starting Jan. 1, pricing will be based on a 50/50 blend of the current and adjusted payment amounts. On July 1, it will be based only on the adjusted amounts.

AAHomecare says it’s currently reviewing the updated fee schedule and will inform members of any major changes.