Alert: Medicare Policy Changes
Paul Prusakowski
Description
Collection
Title:
Alert: Medicare Policy Changes
Creator:
Paul Prusakowski
Date:
9/18/2008
Text:
Thank you to Elizabeth Carlstrom for sharing this information:
Hi Paul!
Hot off the press...there are LCD (Medical Policy) changes, EFFECTIVE
OCTOBER 1, 2008, and I listed them below. I understand there to be
additional LCD revisions/changes to other medical policies coming soon as
well, and I will keep you updated. I thought this might be beneficial to our
List Serve Members and would appreciate you sending this out to them so we
can all stay on top of these, and forthcoming changes to avoid potential
claim denials, delays, etc. Thanks, Elizabeth Carlstrom
September 18, 2008
LCD and Policy Article Revisions - Summary for September 2008
Outlined below is a summary of the principal changes to several DME Local
Coverage Determinations (LCDs) and Policy Articles (PAs) that have been
revised and posted to the web site. Please review the entire LCD and each
related Policy Article for complete information.
High Frequency Chest Wall Oscillation Devices
LCD
Revision Effective Date: 10/01/2008
INDICATIONS AND LIMITATIONS OF COVERAGE:
Added: Coverage for specified neuromuscular diseases.
Added: Statement about concurrent use of mechanical in-exsufflation
device.
ICD-9 CODES THAT SUPPORT MEDICAL NECESSITY:
Added: ICD-9 codes for neuromuscular diseases.
Lower Limb Prostheses
LCD
Revision Effective Date: 10/01/2008
INDICATIONS AND LIMITATIONS OF COVERAGE:
Moved: Noncoverage statement for user adjustable heel heights from
Policy Article.
Policy Article
Revision Effective Date: 10/01/2008
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Moved: Noncoverage statement for user adjustable heel heights to LCD.
CODING GUIDELINES:
Revised: Coding guidance for microprocessor controlled knees.
Substituted: PDAC for SADMERC.
Wheelchair Options/Accessories
LCD
Revision Effective Date: 04/01/2008
INDICATIONS AND LIMITATIONS OF COVERAGE:
Revised: Statements about the requirements for ATS or ATP involvement
in the selection of power tilt and/or recline seating systems.
Respectfully,
Elizabeth Carlstrom
O&P BUSINESS SOLUTIONS
Change keeps us Growing & Moving in New Directions
PO Box 2165
Round Rock, Texas 78680-2165
512.388.7110 Office
512.388.7119 Fax
866.388.7110 Toll Free
Visit our Website @ www.OPBusinessSolutions.com
< <URL Redacted>>
Hi Paul!
Hot off the press...there are LCD (Medical Policy) changes, EFFECTIVE
OCTOBER 1, 2008, and I listed them below. I understand there to be
additional LCD revisions/changes to other medical policies coming soon as
well, and I will keep you updated. I thought this might be beneficial to our
List Serve Members and would appreciate you sending this out to them so we
can all stay on top of these, and forthcoming changes to avoid potential
claim denials, delays, etc. Thanks, Elizabeth Carlstrom
September 18, 2008
LCD and Policy Article Revisions - Summary for September 2008
Outlined below is a summary of the principal changes to several DME Local
Coverage Determinations (LCDs) and Policy Articles (PAs) that have been
revised and posted to the web site. Please review the entire LCD and each
related Policy Article for complete information.
High Frequency Chest Wall Oscillation Devices
LCD
Revision Effective Date: 10/01/2008
INDICATIONS AND LIMITATIONS OF COVERAGE:
Added: Coverage for specified neuromuscular diseases.
Added: Statement about concurrent use of mechanical in-exsufflation
device.
ICD-9 CODES THAT SUPPORT MEDICAL NECESSITY:
Added: ICD-9 codes for neuromuscular diseases.
Lower Limb Prostheses
LCD
Revision Effective Date: 10/01/2008
INDICATIONS AND LIMITATIONS OF COVERAGE:
Moved: Noncoverage statement for user adjustable heel heights from
Policy Article.
Policy Article
Revision Effective Date: 10/01/2008
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Moved: Noncoverage statement for user adjustable heel heights to LCD.
CODING GUIDELINES:
Revised: Coding guidance for microprocessor controlled knees.
Substituted: PDAC for SADMERC.
Wheelchair Options/Accessories
LCD
Revision Effective Date: 04/01/2008
INDICATIONS AND LIMITATIONS OF COVERAGE:
Revised: Statements about the requirements for ATS or ATP involvement
in the selection of power tilt and/or recline seating systems.
Respectfully,
Elizabeth Carlstrom
O&P BUSINESS SOLUTIONS
Change keeps us Growing & Moving in New Directions
PO Box 2165
Round Rock, Texas 78680-2165
512.388.7110 Office
512.388.7119 Fax
866.388.7110 Toll Free
Visit our Website @ www.OPBusinessSolutions.com
< <URL Redacted>>
Citation
Paul Prusakowski, “Alert: Medicare Policy Changes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/229464.
