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120-Days Advanced Payment for Medicare Providers – Now Available!

By April 17, 2020 No Comments

CMS Flexibilities to Fight COVID-19

“The Federal Government is issuing an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic.”

The following temporary changes made possible the recent national emergency declaration will apply immediately across the entire U.S. healthcare system for the duration of the declaration.

Patients Over Paperwork

    • DME Replacements: Where Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) is lost, destroyed, irreparably damaged, or otherwise rendered unusable, DME Medicare Administrative Contractors have the flexibility to waive replacement requirements under Medicare such that the face-to-face requirement, a new physician’s order, and new medical necessity documentation are not required.
      • Suppliers must still include a narrative description on the claim explaining the reason why the equipment must be replaced and are reminded to maintain documentation.

       

    • Prior Authorization in DMEPOS: CMS is pausing the national Medicare Prior Authorization program for certain DMEPOS items.
    • DMEPOS Accreditation: CMS is not requiring accreditation for newly enrolling DMEPOS and extending any expiring supplier accreditation for a 90-day time period.
    • Signature Requirements: CMS is waiving signature and proof of delivery requirements for Part B drugs and Durable Medical Equipment when a signature cannot be obtained due to social distancing orders.
      Suppliers should document in the medical record the appropriate date of delivery and that a signature was not able to be obtained because of COVID-19.
    • Recieve up to 120-Days of Advanced Payment from CMS! – In order to increase cash flow to providers impacted by COVID-19, CMS has expanded their current Accelerated and Advance Payment Program which allows Medicare providers and suppliers to recieve a pre-payment of up to 3-months of services, equal to the prior 120-day period billed/collected at 100% of the allowable fee schedule.
      • Providers can get more information on this process here.

To view the full announcement , click here.

To call any of the toll free hotlines that the CMS has established for providers, click here.

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