April 1st changes were put into effect about the billing and reimbursement for our high liter flow oxygen patients who also use a portable system. CMS released a “clarification” document which always leaves us wanting more! While we and our Client Partners are hard at work clearing up the dense language, we wanted to let you know that it is on our radar! Here’s what we know so far: Effective April 1st a QF modifier can be used to indicate that a patient has be prescribed an oxygen liter flow greater than 4, while also being prescribed portable oxygen. The reimbursement would be dependent on whichever comes in higher, taking 50% of the rate of either the stationary or the portable.
Once we get some additional answer, we will get some clarification on how you can expect HDMS to accommodate this change.
If you have additional questions or knowledge on this topic, please don’t hesitate to contact us!
By Lisa Anderson, Education & Outreach
Universal Software Solutions, Inc.