Navigation Links
Medicare Admits Problems with Equipment Repairs, says AAHomecare
Date:8/25/2014

WASHINGTON, Aug. 25, 2014 /PRNewswire-USNewswire/ -- The Centers for Medicare & Medicaid Services (CMS) is changing the way it deals with medical equipment repairs.

In response to complaints from patients across the nation, CMS has admitted that patients are having trouble getting equipment repaired and has released new guidance on supplier documentation for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) repair claims. 

"From patient complaints to members of Congress, it has taken many voices to help CMS understand that the current state of medical equipment repair is unacceptable," said AAHomecare CEO Tom Ryan. "This new guidance is a step in the right direction towards fixing the convoluted and confusing documentation requirements."

CMS has instructed its Medicare Administrative Durable Medical Equipment Contractors (DME MACs) to only review the necessity of the repair when making a payment determination.

AAHomecare is reviewing the new guidance for its impact on the industry, however upon first review; providers will now be able to repair equipment, such as power wheelchairs, without the burden of finding the original medical necessity documentation from the original provider, many of whom are now out of business. If Medicare paid for the base equipment initially, medical necessity for the base equipment has been established. This guidance for repairs is to be applied to all DMEPOS equipment owned by Medicare beneficiaries as of November 4, 2014.

Specifically, contractors shall only review for continued medical necessity of the item and necessity of the repair. Contractors shall not expend resources to determine if the requirements for the initial provision of the DMEPOS item as/when it was originally ordered were met.

"AAHomecare has worked hand in hand with CMS to come to a resolution on this very important issue," said Kim Brummett, vice president of AAHomecare regulatory affairs. "I am excited to see CMS listening and responding to industry concerns. This development is evidence of the success of collaboration."   

See the full guidance from CMS here.

Medicare's inability to arrange repairs for patients' power wheelchairs has become widespread as a direct result of a national Medicare bidding program. The way CMS awarded contracts has driven hundreds of companies out of business and proven to be a danger to the very people it is supposed to help.

Hear about William Welch's struggle to get his wheelchair repaired.

John J. Letizia, president of Laurel Medical Supplies, Inc. in Pennsylvania and vice chairman of AAHomecare, explained that in order to be reimbursed for repairing power wheelchairs, CMS required companies to collect the documentation of medical necessity that was originally submitted when the beneficiary was approved to receive the equipment. That becomes a problem, Letizia said, when the supplier who provided the equipment is out of business and there is no access to the paperwork.

"In many cases, CMS wants patients to go to the doctor and get the documentation from them. For patients with serious medical conditions, that can be a challenge. If your power wheelchair is broken, and you've lost your ability to move around, getting to the doctor to justify that you need a wheelchair that you already have can seem overwhelming. This new guidance from CMS could help prevent these situations." said Letizia.

Learn about Dorena Hyatt's struggle to get to her doctor on her broken chair.

"We are heartened that CMS has realized that a meaningful policy change is necessary to ensure consumers can access repair services, said Cara Bachenheimer, senior vice president of government relations at Invacare. "While we still have issues with payment levels, changing the documentation requirements to a more pragmatic requirement will absolutely help consumer access."

AAHomecare Complex Rehab and Mobility Council members, AAHomecare staff and allied consumer groups have met with CMS repeatedly to discuss the documentation issues that are among the root causes of the problems with equipment repair. AAHomecare looks forward to working collaboratively with CMS to help patients get access to the home medical equipment, services and supplies they need to receive medical care at home.

The American Association for Homecare represents providers of home medical or durable medical equipment and services who serve the needs of millions of Americans who require prescribed oxygen therapy, wheelchairs, enteral feeding, and other medical equipment, services, and supplies at home. Visit www.aahomecare.org.


'/>"/>
SOURCE American Association for Homecare
Copyright©2014 PR Newswire.
All rights reserved

Related medicine technology :

1. Failure to Take Medicine Linked to Unnecessary Hospital Visits, Especially for Medicare Patients Taking High Blood Pressure or High Cholesterol Medications
2. Problems Plague Medicares Method for Measuring Payment Errors
3. Effectiveness of Medicare Authorization Program for Power Wheelchairs Rests on Inclusion of a Clinical Template
4. ApolloMed ACO Selected To Participate In A Transformative New Initiative Sponsored by the Centers for Medicare and Medicaid Services
5. Physician Details Problems with Medicare Approval Process for Power Wheelchairs
6. New Study Answers CMS/USPSTF Concerns for CT Colonography Screening Reimbursement: It is a Viable Option for the Medicare-Aged Population
7. AllMobilityScooters.com Simplifies Medicare
8. Disability Advocates Tell Medicare: Use a Clinical Template to Accurately Document Medical Need for Wheelchairs
9. Center for Medicare & Medicaid Innovation Awards $19 Million Grant to Develop Oncology Medical Home Model
10. PCMA: Part D Plans and PBMs Continue to Deliver Savings in Medicare
11. Homecare Community Dismayed that Medicare Will Start Prior Authorization for Wheelchairs without a Clinical Template for Physicians to Document Need
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/25/2017)... PROVIDENCE, R.I. , Sept. 25, 2017 /PRNewswire/ ... immunogenicity assessment, vaccine design, and immune-engineering today announced ... focused on the development of personalized therapeutic cancer ... and has provided exclusive access to enabling technologies ... MSc Eng., MBA will lead EpiVax Oncology as ...
(Date:9/19/2017)...   ZirMed Inc ., a recognized leader in cloud-based ... has been ranked #1 by its users for the seventh ... User Survey. ZirMed was recognized as the top-ranked end-to-end revenue ... centers over 200 beds and holds one of the longest ... history. ...
(Date:9/12/2017)... Sept. 12, 2017  Consumer reviews on the independent review site ... the number one company for hearing aids, ranking it higher than ... brands. ... #1 by Consumers For Hearing Aids ... Hearing is an online store that provides high performance, state-of-the-art, German-engineered ...
Breaking Medicine Technology:
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains ... possible to save lost souls in the Philippines. “The Journey: From the Mountains to ... dedicated teacher of the Bible. She has taught all ages and currently teaches a ...
(Date:10/12/2017)... ... 12, 2017 , ... CitiDent and San Francisco dentists, Dr. ... Oventus O2Vent technology. As many as 18 million Americans are estimated to suffer ... Oral appliances can offer significant relief to about 75 percent of people with ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ... the introduction of an innovative new design of the shoulder pad. The shoulder ... maximum comfort while controlling your pain while using cold therapy. By utilizing ice and ...
(Date:10/12/2017)... ... 12, 2017 , ... Information about the technology: , Otomagnetics ... enable prevention of a major side effect of chemotherapy in children. Cisplatin and ... For cisplatin, hearing loss is FDA listed on-label as a dose limiting toxicity. ...
(Date:10/12/2017)... ... ... Leading pediatric oncology experts at Children’s National Health System will join ... International Society of Paediatric Oncology (SIOP) Oct. 12-15. Chaired by Jeffrey Dome, ... at Children’s National, and Stephen P. Hunger, M.D., Chief of the Division of ...
Breaking Medicine News(10 mins):