CMS releases draft templates for infusion pumps, nebulizers

Agency has already released drafts for oxygen, RADs, PAPs and vents
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Friday, May 4, 2018

WASHINGTON – CMS rolled out more drafts of clinical templates, this time for external infusion pumps and nebulizers, during a Special Open Door Forum on May 3.

The agency has been creating the templates, along with clinical data elements, to help reduce the overall provider burden and respond to the push in the public sector toward electronic health records.

The product categories chosen for the templates have high improper payment rates, as outlined in a 2017 fiscal year Comprehensive Error Rate Testing report. In this case, the CERT reported an error rate of 23.1% with an estimated improper payment of $148 million for external infusion pumps. Incomplete documentation accounted for 76.7% of the errors. The CERT error rate was 13.4% with an estimated improper payment of $106 million for nebulizers. Incomplete documentation accounted for 88.5% of errors.

The information in the templates is based on information that already exists in current statute and Medicare policy, and takes into account local coverage determinations and analysis.

CMS unveiled the first drafts of clinical templates for respiratory-related items during an April 19 Special Open Door Forum.

The agency also continues to work on templates and CDEs for oxygen; a third draft was discussed at a Special Open Door Forum in January 2017.

CMS officials say they welcome feedback on the drafts, as they work to fine tune them. Feedback and questions can be sent to clinicaltemplates@cms.hhs.gov.

The downloadable drafts are available on the cms.gov website.