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CMS changes date for oxygen NCD implementation

CMS changes date for oxygen NCD implementation

WASHINGTON – CMS has changed the implementation date of the new oxygen national coverage determination from Jun 14, 2022, to Jan. 3, 2023. 

“This change only extends the implementation date to Jan. 1, 2023,” AAHomecare stated in a bulletin. “The new oxygen NCD coverage expansion will still be retroactively effective to claims with a date of service on or after Sept. 27, 2021.” 

The new oxygen NCD, among other things, expands access for acute conditions and removes the CMN requirement. 

CMS plans to discontinue the CMN for oxygen, as well as several other products, on Jan. 1, 2023. Industry stakeholders have concerns about the NCD going into effect Sept. 27 but CMNs not being eliminated until Jan. 1, 2023. 

CMS also recently announced it is accepting comments on a proposal to amend the period of initial coverage for certain home oxygen patients from 120 days to 90 days to align with the 90-day statutory time period set out in the NCD.

 
 

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