CMS Proposes New DMEPOS Coverage Policies and Payment Rates, and Seeks to Codify HCPCS Application, Benefit Category and Payment Determination Processes
By EsqSocial Corporation 22/12/20
On November 4, 2020, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (the Proposed Rule) outlining proposals for the coverage and payment for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Notably, CMS proposes to expand Medicare coverage under the durable medical equipment (DME) benefit to adjunctive or non-therapeutic continuous glucose monitors (CGMs) and to certain drugs and biologicals administered via an external infusion pump by a...
By: King & Spalding