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CMS Updates Master List of DMEPOS Items Subject to Conditions of Payment

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May 20, 2024

On Monday, May 13, CMS released updates to the master list of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) items potentially subject to face-to-face encounter and written order prior to delivery and/or prior authorization requirements. Updates will primarily take effect August 12, 2024, with some changes being phased in on November 12, 2024. Several new DMEPOS items have been added to the list of services requiring prior authorization and the list of services requiring face-to-face encounters and written orders which are relevant to PM&R. These include certain lumbar-sacral orthosis and certain knee orthoses. For more information about this program, please visit the CMS website. Members with questions about these changes can contact the Academy at healthpolicy@aapmr.org. 

    Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

    Nov 09, 2020

    Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

    Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.

     

     

     

     

     

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