Tag: oxygen LCD

WASHINGTON – An updated FAQ published by the DME MACs in February, by and large, addresses concerns around the new local coverage determination for home oxygen therapy and serves as a good reference point as HME providers navigate a new era for the benefit, stakeholders say.  The FAQ, published Feb. 21 and updated Feb. 23, addresses 25 questions related to continued need, the new N modifiers and more.  “Full stop, it was a much-needed thing,” said Andrea Stark, a...

Stakeholders have been eagerly awaiting the LCD and policy article, following a proposed national coverage determination for oxygen published in July 2021 and a final NCD in September 2021.  As with any change this significant, the devil is in the details, and stakeholders are calling some parts of the LCD and policy article “muddied.”  At the end of the day, stakeholders say providers need clear documentation from physicians and treating practitioners.  WASHINGTON...

WASHINGTON –– The Council for Quality Respiratory Care has expressed disappointment that the recently published local coverage determination for oxygen does not call for the use of a data-driven oxygen template when documenting medical need.   Instead, the LCD, released on Nov. 18, continues to rely on the use of patient medical records, which the CQRC says can be subjective and inconsistent and which can lead to a high rate of oxygen claim denials.  “It is concerning...