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CMS Proposes Adding Ventilators to Competitive Bidding; AAHomecare Pushes Back

Posted On: January 4, 2019 by AAHomecare in: Blog, Competitive Bidding

In late 2018, CMS requested feedback on the inclusion of ventilators (E0465, E0466, E0467) and braces in the DMEPOS competitive bidding program. AAHomecare responded with comments strongly opposing inclusion of ventilators to the program due to the complexity of providing ventilator services to patients and due to the intensive and continual care these patients need. Ventilators are life support systems that replace or support normal ventilatory lung function, it is a DME item that is unlike any other competitively bid item. AAHomecare’s comments also pointed out that Medicare currently classifies ventilators in a category of items that require “frequent and substantial servicing,” recognizing the intensive and continual service these items require “in order to avoid risk to the patient’s health,” and notes that Medicare has not included any other “frequent and substantial servicing” items in the bidding program to date.   Due to

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