Tag: Home oxygen therapy

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...

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...

GOLETA, Calif. – Inogen estimates preliminary, unaudited total revenue of $87.5 million to $88.5 million for the fourth quarter of 2022, representing year-over-year growth of 14.5% to 15.8%.  It estimates total revenue of $376.7 million to $377.7 million for the full year, representing year-over-year growth of 5.2% to 5.5%.  “Despite the prevailing macroeconomic pressures and headwinds resulting from our efforts to continue upgrading the operating disciplines in our DTC...

WASHINGTON – CMS has published a new local coverage and policy article for oxygen and oxygen equipment, AAHomecare reports.  Here is a link to the LCD: https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33797  Here is a link to the policy article: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52514  The new LCD goes into effect Jan. 1.  CMS is not required to provide a comment period, because the LCD contains what...

WASHINGTON – Twenty two members of the House of Representatives have asked CMS to streamline documentation for home oxygen therapy, AAHomecare reports. A sign-on letter spearheaded by Reps. Terri Sewell, D-Ala., and Larry Bucshon, R-Ind., requests that CMS: “Use the opportunity of expanding the current National Coverage Determination for oxygen to establish a clear set of criteria to support medical necessity and instruct the contractors to rely solely on the Standard Written Order...

WASHINGTON – CMS is accepting comments on a proposal to amend the period of initial coverage for certain home oxygen patients from 120 days to 90 days to align with the 90-day statutory time period set out in the national coverage determination issued Sept. 27, 2021.  In a decision memo, CMS stated: “We are proposing that the first paragraph of section D will state: Effective [XX, XXXX], the MAC may determine reasonable and necessary coverage of oxygen therapy and oxygen equipment...

WASHINGTON – Industry stakeholders are trying to guide what a post-PHE world for home oxygen therapy and other product categories might look like.  AAHomecare recently discussed with CMS a one-page recommended reference document for Medicare audit contractors reviewing claims for dates of service during and after the PHE. The document is a cheat sheet of sorts for the waivers that have been in place during the PHE that don’t require, for example, medical documentation or a signature.  “It...

WASHINGTON – CMS’s plan to discontinue CMNs on Jan. 1, 2023, may cause problems for HME providers trying to comply with a new national coverage determination for home oxygen therapy that went into effect Sept. 27, say industry stakeholders.   Following the release of the NCD, CMS issued change requests to push new language to the decision manual and to trigger claims processing edits to align with the new guidelines, but nothing related to eliminating the CMN for oxygen specifically....

DENVER – ARYA BioMed Corp. has entered the home oxygen therapy market with a portable oxygen concentrator. The company says its POC weighs only five pounds with an eight-cell battery and only six pounds with a 16-cell battery. It features pulse-flow settings ranging from 1-5, a battery life of up to eight hours with the standard eight-cell battery pack, a sensitive breath detection, an auto-dose safety feature and more. It has also been approved by the U.S. Food and Drug Administration for...

WASHINGTON – CMS on Feb. 10 published a change request notifying the DME Medicare Administrative Contractors of the agency’s new national coverage determination for home oxygen therapy.  CMS notes the following changes are effective for claims with dates of service starting Sept. 27, 2021:  expansion of oxygen coverage for acute and chronic conditions;  expansion of coverage for short and long-term need (when hypoxemia exhibited);  the ability of the MACs...