The information below is based on the details released by CMS on Jan. Round will include CBAs. Bid Surety Bond Fact Sheet Lead Item Bidding — In past rounds bidders had to bid on each and every item within a product category, in this round bidders will bid on a single, lead item, for each product category.
The prevailing lead item bid will determine the payment amount for all other items in the product category. Learn more. Billing and Coding Learn more about the standardized electronic claiming and coding for home infusion. Medicare Resources Need overviews on the details of Medicare? Have specific questions?
Medicaid Resources Recommendations for the type of criteria the provider should research. Become a Memeber Now Contact us Today at Download Brochure. QUick links. About Us. Get in touch. Thank you. NHIA website generously supported by. McKesson Medical-Surgical. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. While we make every effort to update information, readers should rely upon the primary sources of information on the websites of CMS, the FDA, the DME MACs and other government agencies for current and comprehensive information on issues relating to Medicare, FDA guidelines and other governmental guidelines.
The information on this website is not intended to be legal advice or a legal opinion on any specific facts or circumstances, and we recommend that you consult your attorney for legal advice. Find helpful resources to assist you and your staff throughout Round Events Handouts. JavaScript is disabled. Some website features may not work. Phase 1. Bid Evaluation. For more information regarding the lead item, please refer to the Lead Item Pricing fact sheet.
The adjustment has to be one that a beneficiary, in general, could make themselves, following education and training on the proper use of the device, but the individual beneficiary does not always have to make the adjustment in order for the brace to be classified as OTS. When the beneficiary has a medical need for a brace that requires more than minimal self-adjustment and the brace has to be trimmed, bent, molded, assembled, or customized by an individual with expertise, the brace is not an OTS brace.
The same back or knee brace may have separate codes in the event that the beneficiary needs the brace to be custom fitted. Payment for custom fitting is included in the separate code for the custom fitted brace.
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