Regulatory Updates

State: All

Oxygen and Oxygen Equipment A/B and DME collaborative Presentations

Date Posted : 05/4/2023

Date Effective : 04/1/2023

Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy

CMS released an update to the coverage criteria for oxygen and oxygen equipment. This presentation reviews the testing, coding, and billing guidelines.

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State: All

Provider and Supplier Compliance Education Through Quality in Focus

Date Posted : 01/19/2023

Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Critical Care Hospital, Home Health, Hospice, Renal Dialysis

Quality in Focus: CMS developed a series of short (10–15 minutes), Quality in Focus interactive videos tailored for specific provider types. The series aims to increase the quality of care for people with Medicare and Medicaid by reducing the deficiencies most commonly cited during the CMS survey process, such as infection control and accident prevention.

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State: All

Provider Enrollment: Regulatory Changes

Date Posted : 01/24/2023

Date Effective : 01/1/2023

Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Health

Related CR Title: Incorporation of Recent Provider Enrollment Regulatory Changes into Chapter 10 of CMS Publication (Pub.) 100-08.

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State: All

DMEPOS suppliers – Liability Insurance Verifications

Date Posted : 01/27/2023

Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

Liability insurance verifications Suppliers must meet requirements to enroll in the Medicare program as a durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) supplier. This includes meeting DMEPOS supplier standards. The DMEPOS supplier standards can be located 42 C.F.R. section 424.57(c). Standard 10 requires all DMEPOS suppliers have comprehensive liability insurance in the amount of at least $300,000 (for each incident) and the insurance must remain in force at all times. Per guidance from the Centers for Medicare and Medicaid Services (CMS) and in an effort to protect the Medicare trust fund by ensuring supplier standards are met, the NPEAST DMEPOS contractor will contact the insurance agent to verify the policy is active and current with a CMS-855S application submission. Please ensure your insurance agent replies to verification requests in a timely manner to aid in the processing of DMEPOS applications.

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State: All

Hospice – Revisions to Hospice Appendix M of the State Operations Manual

Date Posted : 01/27/2023

Program: Hospice

Revisions to Appendix M and complementary revisions to the CMS Hospice Basic Surveyor Training will equip surveyors from all surveying entities (State Agencies and Accrediting Organizations) to focus on the quality of care and facilitate consistency. • Surveyors who have previously taken the CMS Hospice Basic Surveyor Training will take an abbreviated training that explains the new approach, while all surveyors (State Agencies and Accrediting Organizations) who have not taken an earlier version of the CMS Hospice Basic Surveyor Training will take the full revised training.

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State: All

Medicare Enrollment in PECOS: Faster & Easier Application Process

Date Posted : 01/26/2023

Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Critical Care Hospital, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Health, Home Infusion Therapy, Hospice, Pharmacy, Renal Dialysis, Sleep

Medicare Enrollment in PECOS: Faster & Easier Application Process — Coming Summer 2023

Submitting and tracking Medicare Enrollment applications in PECOS is about to get easier and faster. Starting this summer, PECOS will have features to better meet your needs. Watch this 2-minute video or read these FAQs to learn more about:

• A single application for multiple enrollments
• Pre-population of data and an application that’s tailored to you
• Enhanced capability to add or delete group members
• Real-time processing checks and status updates
• Re-validation reminders

The PECOS redesign will include a robust Knowledge Base with extensive content to help answer questions about enrollment, how to use all the new features, and much more. We’ll provide you with regular updates on the PECOS redesign over the coming months.

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