Medicare payment analysis for 100 DME items to be completed by "late summer," contractor says.
This article was originally published in The Gray Sheet
Executive Summary
HCFA DME "INHERENT REASONABLENESS" PAYMENT ANALYSIS FOR 100 ITEMS is expected to be completed and a report submitted to the Health Care Financing Administration by "late summer," according to HCFA contractor AFYA, Inc. Adelphi, Maryland-based AFYA has been contracted to evaluate the "inherent reasonableness" of Medicare reimbursement levels for 100 items of durable medical equipment. Based on data from the study, HCFA plans to determine whether reimbursement of any of the items should be adjusted upwards or downwards.