On Jan 17 2020, the CMS announced their strategy to implement the provisions with manual complex rehab technology which were incorporated in the Omnibus bill for last month ( HR 1865) that was passed on Dec 20, 2019.
There was permanent exclusion of the manual CRT wheelchairs and it also exempts the manual accessories from the bidding derived pricing for a period of 18 months that started on Jan 1 2020. The provisions clearly cover the following wheelchair under the respective HCPCS codes which are E1161, E1235, E1236, E1237, E1238, K0005, and K0008.
The CMs has also stated that while the claims processing system may not be properly updated until July 1 2020 or even later. In the mean while, the suppliers will be reimbursed based on the adjusted fee schedule amount and will also receive the relief amount which is additional after the systems are updated.
The suppliers are directed to continue to submit claims for the affected items during this time. Clearly, you need quality resources that can manage all your pre and post complex rehab technology billing with a clearer understanding of the adjudication mandates. If you are not able to find a reliable partner that can address the process loopholes, chances are you will falter on your patients and lose on customers.
What can an outsourcing partner offer
If you want a competent partner that can offer streamlined support, you need someone that can address it all. However, chances are you may not find a quality partner that can help in delivering it all in time. Reducing your operational costs may be a serious problem if you don’t find trained experts to take care of all your revenue cycle management efforts.
All you need is someone that can elevate all your front and back end complex rehab technology billing efforts in the right vein. Choice of a reliable partner will improve your collections; eliminate your practice management loopholes with a specialized presence. At the end, all you need is to focus on your patients that worry about your complex rehab technology billing services.