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CGS Preparing for Mass Adjustments as a Result of 2016 CURES Act

Posted on in Billing/Reimbursement, HME Government Issues

DME contractor CGS announced on May 8 that it is preparing to begin mass adjustments to all claims covered under Section 16007 of the 21st Century Cures Act for DMEPOS items for jurisdiction B and C. It was indicated in CGS' announcement that the process will take approximately 24 weeks to complete, adjusting up to 40,000 claims per day in Jurisdiction C and 20,000 per day in Jurisdiction B.

The van Halem Group published a blog post going into further detail about the announcement. Click here to view the article.

With many House members hold townhall meetings back in their home districts this week, this is an excellent opportunity to share your concerns about such a long delay in payment. There will be another opportunity to reach members of Congress at the AAHomecare Fly-In May 24 and 25 in Washington, D.C., and to request this payment process be expedited in any way possible. Sharing this information with your members of Congress will reinforce the urgency to provide relief for providers in rural areas. 

Implementation date is July 3, 2017. Billing staff will need to be versed in the Change Request (CR) 9968 instructions. Click here to view an information video from CGS.

Click here to read the full announcement from CGS.