Tag: Council for Quality Respiratory Care (CQRC)

RICHMOND, Va. – Home Care Delivered, a provider of diabetes, incontinence, wound, urological and ostomy supplies, has bought the DMEPOS supplier business unit of Medline Industries.  HCD says the strategic move will enhance its market presence, expand its geographical footprint and provide access to a broader customer base, while reinforcing its relationships with patients, health care plans and manufacturers.  "By integrating Medline's DMEPOS supplier assets, we are accelerating...

WASHINGTON – The Council for Quality Respiratory Care recently joined five other respiratory care groups in sending a letter to CMS asking the agency to require Medicare contractors to use a standard clinical data element template for supplemental oxygen to ensure beneficiaries, prescribers and suppliers won’t be overburdened with audits.  While the groups say they appreciate that CMS has developed a pilot program for an e-clinical template for oxygen, the current focus on electronic...

WASHINGTON – Fourteen members of the U.S. House of Representatives have sent a letter to CMS urging the agency to clarify Medicare documentation requirements for supplemental oxygen and adopt a standardized template for documenting patient need, according to the Council for Quality Respiratory Care.  “We write to request that auditors accept the standard written order (SWO) as the only necessary documentation to establish medical necessity when auditing claims of patients who...

WASHINGTON – With a “massive” number of patients starting on home respiratory therapy during the COVID-19 pandemic, the Council for Quality Respiratory Care is renewing its call for a transition period to ensure those patients don’t lose access when the public health emergency ends on May 11, says the Council for Quality Respiratory Care.  While providers are ready to move past the pandemic, much of that readiness depends on any guidance CMS provides, especially for...

WASHINGTON – President Joe Biden has announced that the public health emergency will end on May 11, 2023.  Under the last declaration in January, the PHE was set to end on April 11.  “The advance notice goes beyond HHS Secretary Xavier Becerra’s previous guidance to health care stakeholders that the agency would provide at least 60 days advance notice before ending the PHE,” AAHomecare noted in a bulletin.  Knowing when the PHE will end gives industry...

WASHINGTON – The Council for Quality Respiratory Care, is calling on the federal government to implement policies to ensure patients do not experience barriers to maintaining access to home oxygen, sleep and non-invasive ventilator therapy due to new paperwork requirements that are set to take effect when the COVID-19 public health emergency ends on May 11.  “The public health emergency declaration went a long way towards ensuring the more than 1.5 million patients who rely on...

WASHINGTON – CMS plans to primarily focus MAC, RAC and SMRC medical reviews on claims with dates of service outside of the public health emergency, the agency stated in a recent clarification.  CMS stated:  “During the PHE, flexibilities were applied across claim types. For certain DME items, this included the non-enforcement of clinical indications for coverage. Since clinical indications for coverage were not enforced for certain DME items provided during the PHE, once...

WASHINGTON – The Council for Quality Respiratory Care used a recent Request for Information from CMS to push for clear, objective clinical data elements for oxygen that are consistent with existing CMS-developed “templates” to ensure access to care for home respiratory patients.  In its comments on “Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs, the CQRC also urges CMS to issue clear guidelines about what to expect after the COVID-19 public...

WASHINGTON – High-risk providers represent a small portion of all providers who billed for a telehealth service, but strong, targeted oversight of these services is still important, according to a new report from the Office of Inspector General.  The OIG identified 1,714 providers out of about 742,000 whose billing for telehealth services during the first year of the pandemic posed a high risk to Medicare, representing a total of $127.7 million in Medicare fee-for-service payments for...

WASHINGTON – With local coverage determinations for home oxygen therapy anticipated in October, Crispin Teufel, chair of the Council for Quality Respiratory Care, hopes the industry will get more clarity on a post-CMN environment.   The CMS requirement for CMNs is set to expire Jan. 1, 2023, and the industry has been pushing for a simple template with clear and objective clinical elements, says Teufel, who is also the CEO of Lincare.  “There’s not a lot of time,...