On March 23, 2010, President Obama signed into law a new healthcare bill, the Patient Protection and Affordable Care Act (H.R. 3590). There are multiple provisions within the bill that impact DME. One of these provisions is a reduction in the amount of time suppliers have to file a Medicare claim.
Effective for services performed on or after January 1, 2010, suppliers will have just 12 months to file a claim after the date of service. In addition, claims for services performed prior to December 31, 2009 must be submitted no later than December 31, 2010 (Medicare will currently accept claims back through October 1, 2008).
This means that suppliers will have to get all of their Medicare claims from 10/1/2008 (current timely filing) through 12/31/09 filed by Dec 31st of this year. That leaves less than 8 months to get these claims in before they fall off the grid! Suppliers must also look forward to services performed in January 2010 and anticipate their upcoming expiration.
While these provisions are in effect immediately, it is expected that the Secretary will make certain exceptions to the new one-year filing deadline in future proposed rules. However, do not expect many saving graces.
Full details on how the new healthcare bill impacts DME are included in the April issue of Vista Notes. To become a subscriber and recieve an immediate downlaod of the April issue, click here or visit our Products page.
Andrea Stark will also be hosting a special webinar to answer supplier questions on how various provisions in H.R. 3590 impact the DME industry.
- Will you have to provide DME at Competitive Bid prices?
- Will pharmacies be able to stay in the game without accreditation?
- Are there new face-to-face visit requirements for DME?
- Is Medicare going to make you pay an application or re-enrollment fee?
- Will you have to rent your power wheelchairs?
…To get the answers to these questions and more, register to attend The Impact of H.R. 3590 on DME: How the new Healthcare Bill Affects You! webinar, on May 5, 2010 @ 2:00pm EST. Click here to register, or visit our Seminars/Webinars page. Digital recordings are also available for purchase.