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Key Medicare Regulatory Developments Affecting DME and Respiratory Therapists in 2005-2006

In 2005-2006, significant Medicare regulations impacting Durable Medical Equipment (DME) and respiratory therapy emerged. Key issues included payment structures for inhalation drugs under Pt B, the proposed quality standards for DME, and the reclassification of Noninvasive Positive Pressure Ventilation (NPPV). Additionally, the implementation plans for oxygen equipment ownership after 36 months and final regulations on DME accreditation shaped the landscape. Aspects of the Competitive Acquisition program were also introduced, along with advocacy for respiratory therapists' status in health emergency preparedness and smoking cessation efforts.

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Key Medicare Regulatory Developments Affecting DME and Respiratory Therapists in 2005-2006

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Presentation Transcript

  1. Federal Regulations

  2. Medicare Issues • Much focus in 2005 was on DME • Payment for Pt. B. inhalation drugs • proposed DME quality standards • NPPV reclassification • Expand Medicare criteria for home O2 Therapy

  3. Medicare Issues in 2006 • Again focus on DME • Implementation of bene ownership of O2 equipment after 36 months • Final DME Quality Standards • DME Accreditation regs • Regs to be issued on the Competitive Acquisition (Bid) program- January 2007

  4. Other Washington Issues • RTs in Military Commissioned Officer Status • RTs should be included in the Therapist Category of the Public Health Service Commissioned Officer Corps • Assist HHS with Health Emergency Preparedness Program which includes RTs

  5. CHASM Coalition- drug compounding issue (Consumer Health Alliance for Safe Medication ) • Coalition that monitors the transition to CFC Free MDIs • DOT regs making use of approved portable O2 concentrators on air carriers mandatory • Participate with Tobacco Partners Coalition

  6. AARC has official representation on the AMA’s Health Care Professionals Advisory Committee to the CPT Coding Cmte. • Review, comment and offer suggestions on CPT codes

  7. Medicare Coverage of Smoking Cessation • Get info out to your members • Document in members only area • www.aarc.org/advocacy/federal/ • Under “Tobacco”

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