National Competitive Bidding and CMS Updates
Important Dates

Round 2 of Competitive Bidding Details Released by CMS!

Click on the button below to access information:

CMS Announces Deadline for Supplier Accreditation

The deadline for all existing HME providers to become accredited is September 30, 2009.

Implementation of Competitive Bidding Round 1 Delayed

The Centers for Medicare & Medicaid Services (CMS) has decided to extend the date for implementation of the first round to July 2008 from its original date of April 1, 2008. There are several efforts by various industry groups to gain congressional support for legislation to mitigate the impact of competitive bidding.

ATP Requirement Eliminated

CMS has also made the decision to eliminate the ATP credential requirement for clinicians providing the specialty evaluation for Group 2 SPO and MPO, all Group 3 and power assist devices. The specialty evaluation requirement for this level of technology will remain, only the credential requirement slated for implementation April 1, 2008 has been eliminated.

Complex Rehab Exemption - H.R. 2231

H.R. 2231 is a bill that proposes to exempt complex rehab and assistive technology from the national competitive bidding program. Trade associations and disability groups such as ALS & MDA have joined us in our efforts to exempt complex rehab technology.

Over 135 people participated in a call with NCART to receive guidance on how to make calls to members of congress. These calls resulted in new co-sponsors for H.R. 2231! As of December 21st, there are 34 co-sponsors. Click here to see current co-sponsor information. If your representative is not on this list, please contact him or her and ask for their support of H.R. 2231.


Implementation
Accreditation

 

July, 2008
September 30, 200
9
Stay Informed Fight the Fight Getting Ready
Become Accredited Now!
Suppliers participating in the first round of Medicare's competitive bidding program must now be accredited by October 31, 2007, in order to be selected as a contract winner.
  1. Must meet quality standards
  2. Must be accredited by CMS-approved Deemed Accreditation Organization
Suppliers must be accredited or be pending accreditation to submit a bid.

Suppliers will need to be accredited to be awarded a contract. The accreditation deadline for the first round of competitive bidding is October 31, 2007.

Beginning Jan. 22, 2008, CMS will offer a series of educational teleconferences, along with Medlearn Matters articles and other educational resources, to help providers become accredited.

For a list of the CMS-approved Deemed Accreditation Organizations and information about the Medicare DMEPOS Competitive Bidding program, visit http://www.cms.hhs.gov/CompetitiveAcqforDMEPOS/

Act Now!
E-mail Your Congressman

Product Categories

10. (Miami and San Juan Only) - Support Surfaces (group 2 mattresses and overlays)

01. Oxygen Supplies and Equipment - Oxygen Accessories

01.A. Oxygen Supplies and Equipment - Payment Class A

01.B. Oxygen Supplies and Equipment - Payment Class B

01.C. Oxygen Supplies and Equipment - Payment Class C

01.D. Oxygen Supplies and Equipment - Payment Class D

01.E. Oxygen Supplies and Equipment - Payment Class E

02. Standard Power Wheelchairs, Scooters, and Related Accessories - E0950 - E2621

02. Standard Power Wheelchairs, Scooters, and Related Accessories - K0015 - K0829

03. Complex Rehabilitative Power Wheelchairs and Related Accessories - E0950 - E2369

03. Complex Rehabilitative Power Wheelchairs and Related Accessories - E2370 - E2621

03. Complex Rehabilitative Power Wheelchairs and Related Accessories - K0015 - K0864

06. Continuous Positive Airway Pressure Devices (CPAP), Respiratory Assist Devices (RADs), and Related Supplies and Accessories

07. Hospital Beds and Related Supplies

09. Walkers and Related Accessories
Power Wheelchair Funding Information

MULTIMEDIA TOOL
WATCH IT NOW..
.

We invite you to explore the interactive tutorial below. This is your guide to the new billing code system, the evaluation that determines benefits, and the Quickie products ideally suited to each code group.

Guide to new PMD Codes from Quickie

NEW PRODUCT NAMING REFERENCE
Coding Order Form Cheat Sheet
Power Product Naming for PMDs

Old to New Cross Reference Guide

 

Contact Information
Sunrise Reimbursement Service


For quick answers to your funding questions, e-mail Sunrise Medical Reimbursement Services staffed by the Orion Group.
Ask Orion Group


Ask Rita

Rita Hostak
VP, Government Relations
Rita is Vice-President, Government Relations, and has been a driving force behind many of the changes benefiting manufacturers. Rita began her career with Sunrise Medical in November 1982 as sales associated.
                       
read more»