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12/13/2012

2013 HME Fee Schedule for Medicare Now Available

December 13, 2012

On December 13, CMS published the full DMEPOS Fee Schedule for 2013.  Click here to view the document.

The 2013 fee schedule update will increase reimbursements by 0.8 percent for those items that are 1) not competitively bid items, or 2) may be bidded items (such as oxygen equipment or walkers) but are furnished to Medicare beneficiaries who do not reside in competitively bid areas.

This update is calculated by formula in the Medicare statute. Under the law, DMEPOS items receive an increase/decrease in payment rates based on the Consumer Price Index-Urban (CPI-U) modified by a productivity adjustment. The productivity adjustment was 0.9 percent and the CPI-U was 1.7 percent. Thus, the 1.7 percent increase in the CPI-U is reduced by the 0.9 percent productivity adjustment, resulting in a net increase of 0.8 percent.

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