NAMDRC

The National Association for Medical Direction of Respiratory Care

The Washington Watchline

CMS Adds “Non-invasive Ventilators” to Competitive Bidding

Mechanical ventilation in the home has long been an area of interest and advocacy for The National Association for Medical Direction of Respiratory Care or NAMDRC. We have recently learned that The Centers for Medicare and Medicaid Services (CMS) intends to shift “non-invasive” home ventilators, from the frequent and substantial servicing category to the Competitive Bidding Program for durable medical equipment (DME).

NAMDRC 2019 Annual Meeting: Advancing the Care of the Critically Ill

The Annual Meeting and Educational Conference of the National Association for Medical Direction of Respiratory Care was held March 14th through 16th at the Sonoma Mission Inn in Sonoma, California. This meeting continued the well established tradition of combining evolving science with experienced clinical perspective. The program was developed around the NAMDRC core principles of improving the quality of patient care, reducing barriers to that care and anticipating changes in our practice environment.

CMS is Developing a Readmission Quality Metric for Physicians

For several years many Medicare participating hospitals have been penalized for certain unplanned readmissions within 30 days of discharge. The Medicare Central Office and several policy makers consider this program a great success. Accordingly, the Centers for Medicare and Medicaid (CMS) is in the preliminary stages of discussions about adopting a policy that would link physician and physician group payments to the numbers of their patients who have unplanned hospital readmissions; the Clinician and Clinician Group Hospital-wide All-cause Unplanned Readmission (HWR) Measure.

The HHS Office of Inspector General is Auditing Critical Care Services

In 2019, The Office of Inspector General (OIG) of Health and Human Services, will be continuing its efforts to identify errors in provider billing in the Medicare program. The great majority of the OIG’s work is focused on Medicare and Medicaid programs with roughly three quarters of its total funding committed to these two programs. This year, critical care services billed to Medicare, American Medical Association Current Procedural Terminology (AMA CPT) codes 99291 and 99292, will be audited by the OIG.

Durable Medical Equipment Issues for 2019

On November 1, 2018 the Centers for Medicare & Medicaid Services (CMS) released the final rule that will apply to durable medical equipment (DME) coverage and payment for 2019. This rule finalized modifications to Medicare Part B reimbursement policies for home oxygen therapy, proposed in July, as well as the addition of a HCPCS code and payment for a new ventilator class, the “multi-function ventilator”.

Get in Touch

8618 Westwood Center Drive, Suite 210
Vienna, Virginia 22182

Phone:  703.752.4359
Email:   ExecOffice@namdrc.org
Web:     www.namdrc.org

Stay In Touch

Sign up for Conference and Other Announcements

NAMDRC FacebookNAMDRC LinkedIn

Copyright © 2019 The National Association for Medical Direction of Respiratory Care. All Rights Reserved.