Tag: Non-invasive ventilation
Ventilation: Include patient’s story in documentation
September 9, 2026Boone Lockard
Q. Why is telling the patient’s story through NIV documentation so important under the new CMS policy?
A. As CMS places greater emphasis on clinical justification for non-invasive ventilation (NIV), providers must recognize that a diagnosis alone is no longer enough to support medical necessity. Success under the new policy depends on comprehensive documentation that clearly demonstrates the patient's condition, symptom burden, disease progression and the ongoing need for therapy.
The...
In brief: Push for timeline, win for knee orthoses, results for Apnimed
July 30, 2025HME News Staff
WASHINGTON – AAHomecare, the COPD Foundation, the Council for Quality Respiratory Care and VGM Government Relations have formally requested that CMS establish a clear implementation timeline for the new national coverage determination for non-invasive positive pressure ventilation.
In a letter sent July 23, the groups asked CMS to delay implementation until at least one year after the NCD’s publication date of June 9.
“Adopting a clear implementation glidepath...
In brief: Non-invasive ventilation NCD, new AASM president, Medtrade call for speakers
June 11, 2025HME News Staff
WASHINGTON – CMS has released a final national coverage determination (NCD) for non-invasive positive pressure ventilation (NIPPV) in the home for the treatment of chronic respiratory failure consequent to COPD.
The final NCD:
Provides coverage of respiratory assist devices (RADs) for the treatment of chronic respiratory failure that often accompanies COPD; and
For the first time, establishes coverage for home mechanical ventilation for patients with...
AAHomecare engages Dobson Davanzo for NIV study
July 11, 2024HME News Staff
WASHINGTON – AAHomecare is leading an effort to quantify the differences in outcomes and overall treatment costs for patients with significant respiratory challenges who receive non-invasive ventilation (NIV) therapy versus those who don’t. The research will help to determine the benefits of this therapy using CMS’s own data, potentially providing authoritative data to underpin advocacy to strengthen patient access to NIV, the association says. “This important effort stems...
In brief: Infusion bill returns, NIV access falls
June 16, 2023HME News Staff
WASHINGTON – Sens. Mark R. Warner, D-Va., and Tim Scott, R-S.C., have reintroduced legislation that will ensure patients maintain access to home infusion therapy.
The Preserving Patient Access to Home Infusion Act, is also sponsored by Reps. Vern Buchanan, R-Fla., Chairman of the House Ways & Means Health Subcommittee, Debbie Dingell, D-Mich., Diana Harshbarger, R-Tenn., and Terri Sewell, D-Ala.
The legislation protects access to Medicare’s home infusion benefit...
Viemed releases third study on NIVH benefits
July 7, 2022HME News Staff
LAFAYETTE, La. – Viemed Healthcare has published a third peer-reviewed study demonstrating the benefits of non-invasive ventilation at home.
Using 100% research identifiable fee-for-service Medicare claims from 2016 through 2020, researchers found that using NIVH to treat chronic obstructive pulmonary disease with chronic hypercapnic respiratory failure is associated with significant reductions in mortality, hospitalizations and total Medicare costs.
“In addition to...
QIC sides with Viemed
May 17, 2022HME News Staff
LAFAYETTE, La. – Medicare’s Qualified Independent Contractor found that 77% of certain claims for non-invasive ventilation submitted by Viemed Healthcare were, indeed, medically necessary.
The Office of Inspector General in May 2021 issued a report saying most of the Medicare claims submitted for non-invasive ventilation by the company under its original name, Sleep Management, did not comply with Medicare requirements, something the company pushed back on.
“The...
Vizient expands into DME
May 16, 2022HME News Staff
IRVING, Texas – Vizient has expanded its Novaplus Enhanced Supply to include three new medical/surgical categories, including durable medical equipment, sterile inhalation water and non-invasive ventilation. Through Novaplus Enhanced Supply, Vizient provides supply assurance for participating members through increased inventory commitment from suppliers. “We are continually communicating with our members and contracted suppliers to prepare for and mitigate against potential supply disruptions,”...
Viemed prioritizes diversification
March 11, 2022Theresa Flaherty
LAFAYETTE, La. – Viemed’s sleep and respiratory businesses grew the fastest in 2021, but the company is focused on diversifying into other areas, says CEO Casey Hoyt.
The company has previously placed a lot of emphasis on hiring sales rales reps to grow its core sleep and respiratory businesses, which generated $29 million in net revenues for the fourth quarter, a company record.
“Our goal for 2022 will be to be laser focused on netting 20 new areas, as opposed...
Viemed adds to evidence for NIVH
September 20, 2021HME News Staff
LAFAYETTE, La. – Patients with COPD and CRF who were prescribed noninvasive ventilation at home had statistically significant reductions in risk of death (38.3%), hospitalizations (21.0%) and ED visits (42.9%) compared with similar patients not treated with NIVH, according to a new study from Viemed Healthcare. The study, which was published Sept. 15 in the online edition of The American Journal of Managed Care, also shows NIVH is associated with a one-year risk difference of 13% for mortality,...