Cast Supplies

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April 3, 2014

Question:

We attended a fantastic seminar presented by Mary LeGrand. During the discussion she told us that payment for the casts and splint supplies will be paid under the DMEPOS. Can you clarify this?

Answer:

Yes, and thanks for attending and your positive comments. Effective April 1, 2014 CMS will process payments for casts and splint supplies provided in the physician office under the DMEPOS fee schedule. This change is necessary due to a methodology change on how supplies have been paid in the past and through 3/31/14. This change should not affect your claims submission based on further research. Claims will continue to be submitted to Part B Medicare and they will process payment under the DMEPOS fee schedule beginning 4/1/14. The ultimate change in the future could be in payment rates. At this time, claims submission does not change.