CQRC: Contact CMS about paperwork requirements
By HME News Staff
Updated 11:59 AM CST, Mon January 3, 2022
WASHINGTON – The Council for Quality Respiratory Care is asking industry stakeholders to contact CMS Administrator Chiquita Brooks-LaSure to standardize the paperwork requirements for home oxygen coverage.
The CQRC says requiring physicians to provide medical records could result in “the vast majority of claims being denied.”
“CMS has indicated that physicians will be required to provide their medical records instead of using a form with the information CMS needs to pay the claim,” the council states. “This approach puts the contractor in the position of determining what the patient needs instead of the physician and patient making the decision together.”
CMS in September posted a final national coverage determination for home oxygen that eliminates the CMN requirement.
Because CMS is currently in the process of creating guidance for the new NCD, it’s “critical” that the agency hears from stakeholders that paperwork requirements shouldn’t create barriers to access, the CQRC says.
“Please reach out to CMS today and ask the agency to adopt a template that asks for the specific, standardized information to make sure patient needs are met and they can receive their equipment,” the council states.
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