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CMS Extends Comment Period for Including Ventilation into Competitive Bidding to Dec. 1 7

Posted on in Billing/Reimbursement, HME Government Issues, Legislation, Government and Advocacy

VGM Creates Talking Points for Suppliers to Submit Comments

The Centers for Medicare and Medicaid Services (CMS) are soliciting comments on the agency’s proposal to include ventilators in the next round of competitive bidding. The proposal includes ventilator codes E0465 (invasive), E0466 (non-invasive), and E0467 (multi-functioning) being phased into the next bidding program. With the expected two-year gap in the bidding program, new contracts would not begin until 2021, with a detailed announcement expected in the spring of 2019.

There are major concerns with life-sustaining equipment such as ventilators being restricted to contracted suppliers, given the instability that the program has caused within the DMEPOS industry. Providing real examples of patients whom suppliers serve can effectively demonstrate the need to keep this product category out of the competitive bidding program.

Click here to view VGM’s suggested talking points in crafting your comments.

Be thorough and concise in your comments, using real examples to highlight the potential problems with ventilators being included in the program.

Any questions may be directed towards the VGM Government Relations team at 855-345-3469.

Comments may be submitted to [email protected] by Dec. 17.