Tag: Oxygen CMN

BALTIMORE – With a new clarification from CMS and the DME MACs, it’s “crystal clear” that certificates of medical necessity are no longer required for oxygen claims during the public health emergency, say industry experts.  “The guidance is crystal clear and precise,” said Andrea Stark, a Medicare consultant and reimbursement specialist for MiraVista. “Providers have chased their last CMN for oxygen.”  CMS in June posted a joint...

YARMOUTH, Maine – The opportunities for HME providers in 2022 in a lot of ways hinge on the progress they make on the challenges in 2021, respondents to a recent HME Newspoll say.  That’s because one of the biggest challenges in 2021 – supply chain constraints, and the corresponding increase in pricing and surcharges – is expected to continue into 2022.  “The only thing that we are hoping for in 2022 is the easing of the supply chain issues and the return...

Q. When can oxygen suppliers stop using the CMN?  A. Suppliers can stop using CMNs for oxygen setups with dates of service on and after Sept. 27, 2021. A recent change to the Home Use of Oxygen National Coverage Determination (NCD) eliminates the CMN requirement. In lieu of a CMN, suppliers need a standard written order from a treating practitioner.   To release initial claims for hypoxic patients, suppliers must confirm the medical records support the need for oxygen with test results...

WASHINGTON - The DME MACs have rescinded part of their updated guidance for the oxygen CMN.Back on Feb. 15, the MACs published an article with new supplier guidance on how to use new Q modifiers on the certificate of medical necessity form. They instructed providers to report the calculated average flow rate for Question 5 on the CMN when a patient has differing daytime and nighttime prescribed flow rates. They also instructed providers to submit revised CMNs in this situation.In an article on April...