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Tag: Oxygen


News

Groups push for standardized clinical data elements 

October 16, 2023HME News Staff

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...

clinical data element, Council for Quality Respiratory Care (CQRC), Oxygen, Template


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News

Oxygen template: CQRC enlists Congress 

September 12, 2023HME News Staff

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...

Council for Quality Respiratory Care (CQRC), Oxygen, Template


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Also Noted

Telesair receives CE mark for oxygen system

August 23, 2023HME News Staff

IRVINE, Calif. – Telesair has received CE (Conformité Européenne) Marks for its Bonhawa High Flow Oxygen Therapy (HFOT) system for use in the treatment of patients with respiratory insufficiency. The light and compact device features an extended flow range up to 80 L/pm, a simple disinfection process and an easy-to-use touchscreen, allowing greater therapeutic range, efficient disinfection, the potential to reduce the workload of caregivers, and the ability to visualize patient...

Oxygen, Telesair


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Home oxygen: Could pilot boost argument for template? 

News

Home oxygen: Could pilot boost argument for template? 

August 16, 2023Theresa Flaherty, Managing Editor

WASHINGTON – Industry stakeholders hope an upcoming pilot project by CMS will test the use of a standardized template for home oxygen therapy – something that would go a long way toward clearing up gray areas in coverage, they say.  CMS has a two year, nearly $4 million contract with Mettle Solutions, a health care information and technology solutions company, to launch the pilot and AAHomecare has scheduled a meeting with the company to learn more about it, says Kim Brummett,...

AAHomecare, American Heart Association, Oxygen, Tyler Wilson


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On the Editor's Desk

Disruption, innovation and growth in first half of 2023

July 18, 2023Liz Beaulieu, Editor

We’ve burned through the first half of 2023 already and what do we have to show for it?  If the most read stories from January through June are any indication, it’s disruption, innovation and growth.  Let’s start with disruption. It has come in a number of forms in 2023, including one of the HME industry’s legacy manufacturers, Invacare, filing for bankruptcy. We posted a story about that to our website in February, and it remains the most read story of the...

AdaptHealth, Continuous Glucose Monitor (CGM), Diabetes, Humana, National coverage determination, Oxygen


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Terri Sewell

News

Reps. Sewell, Smith launch sign-on letter to protect access to oxygen 

July 17, 2023HME News Staff

WASHINGTON – Reps. Terri Sewell, D-Ala., and Adrian Smith, R-Neb., are collecting signatures for a sign-on letter asking CMS to accept the standard written order as the only necessary documentation to establish medical necessity for audits of home oxygen, sleep and non-invasive ventilation claims submitted during the public health emergency, according to AAHomecare.  The letter asks CMS to protect patient access by instructing contractors to use CMS’s widely accepted...

CMS, Documentation, Oxygen


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Andrea Stark

News

Home oxygen therapy: Stakeholders welcome ‘much-needed’ guidance

March 3, 2023Theresa Flaherty, Managing Editor

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...

Andrea Stark, Home oxygen therapy, Kim Brummett, Local Coverage Determination (LCD), Oxygen, Ronda Buhrmester


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News

In brief: Oxygen guidance, Inogen’s innovation, PHE guidance

February 24, 2023HME News Staff

WASHINGTON – The DME MACs have published an updated FAQ to provide additional guidance related to the new local coverage determination for home oxygen therapy.  The FAQ comprises 25 questions related to continued need, the new N modifiers and more.  AAHomecare highlighted the following questions in a bulletin:  1. Is an initial F2F evaluation required?  Answer: While there’s no formal requirement in the NCD or LCD, good medical practice would dictate...

BetterCaths, Diathrive Health, Frequently Asked Questions (FAQs), Home Medical Equipment (HME), Inogen, Oxygen, PHE, Philips


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Kim Brummett

News

Oxygen LCD needs some ‘finer points’

December 2, 2022Theresa Flaherty, Managing Editor

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...

Local Coverage Determination (LCD), Oxygen


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Crispin Teufel

News

CQRC fears lack of template could increase denials

November 30, 2022HME News Staff

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...

Lincare, Oxygen


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