There is still time to reach out to your representative: Dear Colleague Letter Supporting an Oxygen Template Letter!

Published in Government Relations on July 27, 2022

Government Update

Two days left to send 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.

John Gallagher, VP of Government Relations, VGM & Associates, says, “We know that less than 1% of oxygen claims are improperly paid due to failing to meet medical necessity.  We are finding that many providers are caught in the middle with the catch 22 of providing the oxygen equipment prescribed…yet are denied claims due to incomplete doctor notes.  The solution is to remove the ambiguity and implement clearly stated templates that establish medical necessity.”

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!  

The letter is only going to be circulating around Congress for two more days, reach out and ask your member of Congress to sign this letter 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!


TAGS

  1. billing & reimbursement
  2. oxygen
  3. vgm
  4. vgm government

From Our Experts

VGM Launches Tariff Tracking Resource & H.R. 2005 Gains Another Key Supporter thumbnail VGM Launches Tariff Tracking Resource & H.R. 2005 Gains Another Key Supporter VGM Government Relations is excited to announce the launch of a dedicated online page designed to serve as a centralized hub for all tariff-related information. This resource aims to provide our users with the tools and insights they need to stay informed and navigate tariff updates effortlessly. CAMPS Members Advocate For DME Industry At The Capitol thumbnail CAMPS Members Advocate For DME Industry At The Capitol On a pivotal day at the California State Capitol, members of the California Association of Medical Product Suppliers (CAMPS) gathered to advocate for the durable medical equipment (DME) industry. The delegation, led by CAMPS President Paul Ondrusek, engaged in a series of high-impact meetings with Assembly members and Senators. Telehealth Provisions Extended Through 2025: What You Need to Know thumbnail Telehealth Provisions Extended Through 2025: What You Need to Know In a significant move for healthcare accessibility, the latest Continuing Resolution (CR) passed by Congress includes an extension of telehealth flexibilities and reimbursement policies. This extension, which runs through Sept. 30, 2025, ensures that millions of patients and healthcare providers can continue to benefit from telehealth services across the United States. Here's a breakdown of the telehealth key provisions included in the CR: Proposed Decision Memo For Non-Invasive Ventilators thumbnail Proposed Decision Memo For Non-Invasive Ventilators The Centers for Medicare & Medicaid Services (CMS) released a decision memo on Tuesday, March 11, for a proposal NCD for noninvasive ventilation (NIV) for the treatment of chronic respiratory failure secondary to chronic obstructive pulmonary disease (COPD). Bill to Fund the Government Passes the House thumbnail Bill to Fund the Government Passes the House This week, the House of Representatives passed a continuing resolution (CR) bill to fund the government through September. The next step is Senate approval, where a vote is expected in the coming days. Relationships Matter thumbnail Relationships Matter VGM Group, Inc is proud to announce that Rep. Miller-Meeks (R-IA) and Rep. Feenstra (R-IA) are lead sponsors of the DMEPOS Relief Act (H.R. 2005)! This bill will provide the 75/25 DME Relief and guide our work in the 119th Congress. Navigating the Fast-Paced News Cycle: Key Updates for Our Industry thumbnail Navigating the Fast-Paced News Cycle: Key Updates for Our Industry As we move into the new year, the headlines are coming at us fast and furious. The constant stream of information from Washington, D.C. can be overwhelming and often confusing. Topics such as tariffs, budgets, and DOGE dominate the news, making it feel like a game of "follow the bouncing ball." H.R.1703 - CRT House Companion Bill To S.247 Introduced thumbnail H.R.1703 - CRT House Companion Bill To S.247 Introduced Last week, Representatives John Joyce (R-PA) and Vern Buchanan (R-FL) introduced H.R.1703, a companion bill to Senate bill S.247. This legislation aims to clarify Medicare Part B payment rules for manual wheelchairs.