Dear Colleague Letter supporting an Oxygen Template Letter - Reach out to your representatives today!

Published in Government Relations on July 19, 2022

Just released is the Dear Colleague letter authored by Rep. Terri Sewell (D-AL) and Rep. Larry Bucshon (R-IN) requesting CMS to adopt a clear, easy to understand template letter for home oxygen equipment and supplies that asks for the specific, standardized information to ensure patient needs are met and beneficiaries receive their critical home oxygen equipment and supplies.

Click here to view the Dear Colleague Letter.

It is important that you reach out today to ask your member of Congress to sign this letter as this letter is circulating around Congress for only 10 days. Please reach out today!  

Click here to quickly and easily message your member of Congress asking them to support this letter.

As you may recall, CMS recently expanded coverage for home oxygen equipment and supplies. However, CMS will have to determine what documents suppliers must provide to receive Medicare payment to ensure beneficiaries receive their devices. The goal for a template letter is to prevent confusion and denials of these necessary, critical oxygen services.

CMS has indicated that physicians will be required to turn over their medical records instead of using a form that asks for the clear and specific information CMS needs to pay the claim. The concern by many is that this requirement will result in the vast majority of claims being denied because physician records are not written to meet contractor needs, but rather to care for patients. This approach puts the contractor in the position of determining what the patient needs. Instead, the physician and patient should be making these decisions together. 

Attached here is the Community Letter that VGM and many other DMEPOS industry leaders supported back in October of 2021.  

This letter provides an outstanding opportunity for each Provider to build a relationship and connectivity with their Congressional Members office.  Ask that your member of congress sign on to the letter, and then offer the opportunity to stop by your place of business to “meet n greet” your employees, and explain more in detail what this letter aims to achieve.  This of all ask should be an easy sell for most providers.

Again, this letter closes on July 29th, so please take action today!

From Our Experts

Featuring Two Champions Of Change: Robert Beard of YD Home Medical & Rob Minicucci Jr. of Health System Services thumbnail Featuring Two Champions Of Change: Robert Beard of YD Home Medical & Rob Minicucci Jr. of Health System Services Today, we're proud to spotlight two outstanding durable medical equipment (DME) champions whose advocacy efforts are making a meaningful difference: Robert Beard of YD Home Medical of Alabama and Rob Minicucci Jr. of Health System Services of New York. These individuals took time out of their busy schedules to personally connect with elected officials, demonstrating how local action can spark national change. Survey: Share Your Thoughts on Proposed Accreditation Rule Changes thumbnail Survey: Share Your Thoughts on Proposed Accreditation Rule Changes CQRC, VGM, and AAHomecare are requesting your feedback on a new proposed rule that could significantly impact accreditation procedures. Under the proposal, accreditation organizations would be required to conduct site visits every year—a major shift from the current once-every-three-years schedule. WEBINAR: Navigating New CMS Guidelines: Unlocking Opportunities in NIPPV and RAD Coverage for COPD Care thumbnail WEBINAR: Navigating New CMS Guidelines: Unlocking Opportunities in NIPPV and RAD Coverage for COPD Care The Centers for Medicare & Medicaid Services (CMS) has revised the NCD for Noninvasive Positive Pressure Ventilation (NIPPV) in the home setting for treating Chronic Respiratory Failure (CRF) due to Chronic Obstructive Pulmonary Disease (COPD). The changes aim to establish clear coverage policies for devices such as Respiratory Assist Devices (RADs) and home mechanical ventilators (HMVs), potentially expanding access to these critical therapies for eligible patients. Adapting to new CMS guidelin Bipartisan Medicare O&P Bill Introduced thumbnail Bipartisan Medicare O&P Bill Introduced In a timely move ahead of next week's NAAOP Legislative Fly-In, a bipartisan group of lawmakers introduced the Medicare Orthotics and Prosthetics Patient-Centered Care Act, a bill aimed at improving access to high-quality orthotic and prosthetic care for Medicare beneficiaries. The Patient-Centered Care Act seeks to address critical gaps in Medicare coverage for orthotic and prosthetic (O&P) services. Under current rules, beneficiaries may receive devices without the necessary clinical services Proposed Rule Suggests Significant Change To Accreditation Process thumbnail Proposed Rule Suggests Significant Change To Accreditation Process The recently released proposed rule CMS-1828-P contains a significant change that could reshape how suppliers navigate accreditation. The rule proposes a major change that would require suppliers to be surveyed and reaccredited annually instead of the current three (3) year cadence. This proposal raises substantial questions about both operational feasibility and cost implications. August Of Action: Your Chance To Connect With Congress thumbnail August Of Action: Your Chance To Connect With Congress It's time to take advantage of August Of Action—a perfect opportunity to make your voice heard. Every summer, federal legislators return to their home states during the Congressional recess. While it gives them a break from Washington D.C., it's primarily a time for them to connect with constituents like you. HR1 Passes House, Advances to President Trump's Desk for Signature thumbnail HR1 Passes House, Advances to President Trump's Desk for Signature After extensive negotiations and partisan debate, the House has officially passed HR1, clearing the path for the bill to be signed into law by President Donald Trump. The legislation, which aims to reduce federal healthcare expenditures, contains several provisions that may impact the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) industry. CMS files the Proposed Rule that sheds light on the next round of the Competitive Bidding Program thumbnail CMS files the Proposed Rule that sheds light on the next round of the Competitive Bidding Program On June 30, 2025, CMS filed the anticipated Proposed Rule that includes updates to the Competitive Bidding Program (CBP). Public comments are due 60 days from June 30, 2025. Below is a high-level summary of the rule. It is critical to note that, according to the Proposed Rule Fact Sheet dated June 30, 2025, CMS has stated that they have not announced the specific product categories they are bidding or the specific timeframe for the next competition. Those specifics will be forthcoming in a fu