CMS Focuses DME Reviews On Post-PHE Claims, Keeps Modifier

By Michelle M. Stein / May 10, 2023 at 5:31 PM
DME Medicare Administrative Contractors recently agreed to let durable medical equipment suppliers continue to note which claims started during the COVID-19 pandemic after the public health emergency ends May 11, after suppliers raised concerns that contractors wouldn’t be able to tell when claims initially started -- and under which set of waivers -- without a modifier attached. The move is important considering CMS says it plans to focus its DME reviews primarily on claims with dates of service after May...

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