Knack Global has been extensive expertise providing RCM services to over 2,000 DME suppliers. In this ever changing specialized industry, We focus on all aspects of DMEPOS billing cycle from Pre-Billing services to AR Follow-up & Denial Management. Some of the highlight services of our DEMPOS.
On November 14, 2018, CMS had published a final rule that affects the 2019 and 2020 DMEPOS and parenteral and enteral nutrition (PEN) fee schedules. Corrections were published on December 28, 2018 in CMS-1691-CN. This rule established a methodology for adjusting fee schedule amounts for certain items using information from the DMEPOS Competitive Bidding Program (CBP) for items furnished from January 1, 2019, thru December 31, 2020.
This final rule implements the requirements of section 16008 of the 21st Century Cures Act (for calendar years 2019 and 2020 only), which requires that certain information be considered in making fee schedule adjustments using competitive bidding information for items furnished on or after January 1, 2019. The rule adjusts fee schedule amounts in rural and non-contiguous areas where competitive bidding has yet to be implemented using a 50/50 blend of competitive bidding pricing and historic (“unadjusted”) fee schedule amounts. The fee schedule amounts for other areas where competitive bidding has yet to be implemented are adjusted using competitive bidding pricing only. The rule also adjusts fee schedule amounts for former competitive bidding areas using competitive bidding pricing when there is a gap in the DMEPOS CBP.