Provision gives hope to some
Recently released guidance on the 36-month oxygen cap may contain a silver lining for providers, at least those with long-term patients. On pages 846 and 847 of the guidance, Medicare states that, after five years from the day of set up, providers can supply oxygen patients with new equipment and bill Medicare for another three years. Thatâ€™s music to the ears of Lee Guay, a coordinator for Apex of St. Peters in Helena, Mont. Thanks to the provision, 40 oxygen patients who he thought were capping out Jan. 1 are eligible for new equipment. The patients have been on oxygen for at least six years. â€œThis is pulling some providers out of the fire,â€ Guay said.
AAH details oxygen reform
AAHomecare sent an update to members this week outlining the type of oxygen reform it will propose to members of Congress early next year. The reform includes eliminating the 36-month oxygen cap and paying for therapy during the entire period of medial need; basing payments on a patient-focused not equipment-focused model; and removing oxygen from national competitive bidding.
CMS answers questions
CMS has posted answers to frequently asked questions about the 36-month oxygen cap. Find the FAQ article.