4/19/2017. Michigan Home Care & Hospice Association 2017 Annual Conference. Disclaimer. Agenda. CGS JB Medicare Update Session May 4, 2017

Transcription

1 Michigan Home Care & Hospice Association 2017 Annual Conference CGS JB Medicare Update Session May 4, Disclaimer The presentation herein was current at the time it was published or uploaded onto the web. Medicare policy changes frequently so links to the source documents have been provided within the document for your reference. The presentation herein was prepared as a tool to assist providers and is not intended to grant rights or impose obligations. Although every reasonable effort has been made to assure the accuracy of the information within these pages, the ultimate responsibility for the correct submission of claims and response to any remittance advice lies with the provider of services. The Centers for Medicare & Medicaid Services (CMS) employees and agents, including CGS and its staff, make no representation, warranty, or guarantee that this compilation of Medicare information is error free and will bear no responsibility or liability for the results or consequences of the use of this guide. This publication is a general summary that explains certain aspects of the Medicare Program, but is not a legal document. Official Medicare Program provisions are contained in relevant laws, regulations, and rulings. 2 Agenda General Medicare Updates 21 st Century Cures Act Sequencing of Modifiers Assignment Agreement Advanced Beneficiary Notice of Noncoverage Standard Documentation Jurisdiction B DME MAC Updates 3 1

2 General Medicare Updates MLN Matters 4 Condition of Payment Prior Authorization Program for K0856/K0861 Submit Prior Authorization Request to DME MAC March 6, 2017 Illinois (JB) and West Virginia (JC) beneficiaries and suppliers Claims submitted for K0856 or K0861 are subject to prior authorization decision for payment Date of Service on or after March 20, 2017 Nationwide on July 17, 2017 Additional Information Systems/Monitoring-Programs/Medicare-FFS-Compliance- Programs/DMEPOS/Prior-Authorization-Process-for-Certain-Durable- Medical-Equipment-Prosthetic-Orthotics-Supplies-Items.html 5 Continuous Glucose Monitors (CGM) Effective January 12 th 2017 one CGM approved as DME Dexcom G5 Mobile CGM Inexpensive and routinely purchased (IRP) E1399 Dexcom G5 Mobile CGM durable receiver Furnished on or after 1/12/17 Narrative Dexcom G5 Receiver A9999 All supplies and accessories furnished on a monthly basis for use with a Dexcom G5 Mobile CGM receiver Furnished on or after 1/12/17 Narrative Supplies used with Dexcom G5 Receiver 6 2

3 Continuous Glucose Monitors (2) Therapeutic CGM may be covered when all of the following criteria are met: Beneficiary has diabetes mellitus; and, Beneficiary has been using a home blood glucose monitor (BGM) and performing frequent (four or more times a day) BGM testing; and, Beneficiary is insulin-treated with multiple daily injections (MDI) of insulin or a continuous subcutaneous insulin infusion (CSII) pump; and, Beneficiary's insulin treatment regimen requires frequent adjustment by the beneficiary on the basis of therapeutic CGM testing results. 7 MLN Matters MM 9848 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment When a beneficiary is receiving both stationary and portable equipment with High Liter Flow (HLF) The portable is now separately payable In order to receive payment for the portable The supplier must append the QF modifier to both the stationary and the portable Effective on or after Dates of Service April 1, Social Security Number Removal Initiative (SSNRI) Requires the removal of Social Security Numbers from Medicare cards by April 2019 Replaced with a Medicare Beneficiary Identifier (MBI) Distribution of new cards will begin April 2018 CMS Overview webpage: 9 3

4 Custom Cushion Codes E2609/E2617 CGS conducting a review of the data utilized to establish reimbursement Review may or may not result in a change in the reimbursement While reviewing data, CGS will not be reverting to individual pricing consideration CMS s intent is for contractors to establish prices for established HCPCs codes Once review is complete, CGS will share the results 10 MLN Matters MM9886 DMEPOS Order Requirements for Changing Suppliers Accept timley order and medical documentation (so long as it meets Medicare requirements), regardless of whether the supplier received the documentation directly from the beneficiary s eligible practitioner or from another, transfer supplier. There is a change in the order for the accessory, supply, drug and so forth On a regular basis, only if it so specified in the documentation section of a particular medical policy When an item is replaced When there is a change in supplier, if the recipient supplier did not obtain a valid order for the DMEPOS item form the transferring supplier st Century Cures Act 12 4

5 Section KU Informational modifier used to receive the unadjusted fee schedule amount Group 3 Complex Rehabilitative Power Wheelchair Accessory Seat Back Cushion KU Modifier use extended through June 30, 2017 Spreadsheets are no longer accepted for adjustments to claims with DOS on or after January 1 st, 2017 Spreadsheets still accepted for DOS 1/1/2016 6/30/ Section CMS is currently working to implement this section and will be providing contractor instructions for re-processing the applicable claims. There is no action required for the suppliers at this time. Formal instructions will be issued in the near future. 14 Resources for 21 st Cures Act Questions Complete list of the wheelchair accessories and cushions used with the Group 3 complex wheelchairs Payment/DMEPOSFeeSched/Downloads/PAMPA-Code-List.zip Medicare Claims Processing Manual, Chapter 17, Section Guidance/Guidance/Manuals/Downloads/clm104c17.pdf 15 5

6 Sequencing of Modifiers For Capped Rental items paid as a Lump Sum Purchase 16 MLN Matters MM9579 Effective date October 1, 2016 Repair parts billed with RB modifier paid as purchase, regardless of the following: Competitive bidding item or not Within or outside a CBA Payment category of repair part Rented grandfathered equipment Supplies and accessories used with grandfathered equipment can continue to be provided by grandfathered supplier through the end of the capped rental period. 17 Lump Sum Payment for Repair Parts Effective October 1, 2016, repair parts used to make medically necessary beneficiary-owned base equipment serviceable is paid on a lump sum purchase basis. Repairs of medically necessary beneficiary-owned items can be performed by any Medicare-enrolled supplier. Applies to all repair parts billed with RB modifier, including beneficiaries residing in a CBA. 18 6

7 Modifiers RB modifier NU pricing modifier Appropriate informational modifiers KX, RT and/or LT modifiers KH modifier (if the HCPCS is in the capped rental category) Do not report KY, KE or RR modifier with RB modifier. 19 Modifier Sequencing NU modifier must be first modifier listed RT and LT modifiers must appear in the 2nd and 3rd positions when billing for a capped rental HCPCS code and 2 units of service are billed on the same line 99 modifier is required when more than 4 modifiers are reported NU, RT and LT (as needed) modifiers, and the 99 modifier (as needed) must all appear on the claim line. Additional Modifiers listed in narrative of claim. 20 Examples Example (99 modifier not needed) E0992 NU RB KX Example (99 modifier needed) E2370 NU RT LT 99 (Narrative includes KH, RB, KX, and sometimes KU) RTLT must be in 2 nd and 3 rd place for bilateral items with a number of units of

8 References MLN Matters Number: MM9579 MLN Matters Number: MM8822 MLN Matters Number: MM8566 Update to MM Assignment Agreement 23 Assignment Agreement Assignment- Written agreement Beneficiaries, physicians/suppliers, Medicare Participating Suppliers Signed contract Accept assignment on all services Nonparticipating Suppliers Assignment on claim-by-claim basis 24 8

9 Nature and Effect of Assignment Claims on Participating Physician / Supplier Agrees to accept Medicare allowed amount on all claims Cannot determine assignment on claim by claim basis Can only charge deductible / coinsurance 25 Mandatory Assignment for Covered Drugs Billed to Medicare Section 114 BIPA- Mandatory assignment applies to Medicare-covered drugs Claims billed unassigned will process assigned Suppliers may not bill charges to anyone beyond the Medicare Part B deductible and coinsurance Does not apply to dispensing fees 26 Physician / Supplier Violation of Assignment Collects or attempts to collect from enrollee or anyone else Any amount plus benefit Exceeds Medicare allowed amount Charges enrollee for paperwork involved in filing an assigned claim 27 9

10 Supplementary Medical Insurance (SMI) Enrollee has private insurance in addition to Medicare Physician / Supplier Accepts assignment of SMI May not bill or collect amount that exceeds Medicare allowed amount Enrollee or private insurance Refunds will be requested by MAC 28 Fragmented Billing Non-participating physician / supplier Accepts assignment for some services Claims payment from enrollee Services performed at the same place / same occasion Must accept assignment or bill enrollee for all services performed at the same place / same occasion 29 Fragmented Billing Exception Mandatory Assignment Situations Physician / Supplier may choose to not accept assignment for other services at the same place or occasion 30 10

11 Advanced Beneficiary Notice of Noncoverage Special Guidance for Unassigned Claims 31 New ABN Form 32 Unassigned Claims Only 33 11

12 Instructions Blank G, Option 1 Single line strike ABNs printed specifically for issuance of unassigned items or Line can be hand-penned on an already printed ABN Sentence must be stricken May not be entirely concealed or deleted No CMS requirement for initial or date annotated If changes to Blank G, Option 1 are completed before issuing the ABN to the beneficiary 34 Unassigned Claims Only 35 Instructions Blank H Statement can be included on ABNs for unassigned items May also be hand written ABNs with the sentence stricken out in Option 1 must contain the CMS-approved unassigned claim statement in Blank H If not, then it is not considered a valid notice If Blank H consists of the CMS-approved statement, then the last sentence in Option 1 should be stricken

13 Resources Supplier Manual Chapter 6 Assignment agreement CMS Internet Only Manual (IOM)100-04, Chapter 1, Section Enrollment Participating / Non-Participating Social Security Act Section 1842(h); 42 U.S.C. Section 1395u (h); 42 C.F.R. Sections , (1999) ABN Instruction Information/BNI/Downloads/ABN-Form-Instructions.pdf 37 Standard Documentation SLD Update Dispensing Orders Detailed Written Orders Written Orders Prior to Delivery 38 Standard Documentation Language Update Standard Documentation Language Removed from LCD Coming 2017 with LCD updates Standard Documentation Requirement Article (A55426) Separate article linked to LCD More efficient updates when standard documentation is updated Shortens LCD for easier reading Allows for emphasis of policy requirements in the LCD and PA 39 13

14 Authorized to Order Overview Physician, Nurse practitioner (NP), Clinical Nurse Specialist (CNS), Physician Assistant (PA) Dispensing Orders Can be verbal or written Obtained prior to delivery Must be followed up with DWO prior to billing Detailed Written Order (DWO) Includes Beneficiary Name, Prescribers Name, Order date, Detailed Description of the item, Prescriber s signature and date Obtained prior to billing 40 Written Order Prior to Delivery For all items bulleted on this slide prior to delivery Pressure reducing support surfaces (Group I, II, III), including mattress overlays, mattresses and air-fluidized beds Seat lift mechanisms TENS PMD Wheelchair seating NPWT A date stamp (or similar) is required which clearly indicates the supplier s date of receipt of the completed WOPD with the prescribing practitioner s signature and signature date Element Order (5EO) for ACA 6407 The 5EO must include all of the following elements: Beneficiary's name Item of DME ordered - this may be general Signature of the prescribing practitioner Prescribing practitioner's National Practitioner Identifier (NPI) The date of the order Must be completed within six (6) months after the required ACA 6407 face-to-face examination; and, Must be received by the supplier before delivery of the listed item(s); and, A date stamp or equivalent is encouraged to be used to document the 5EO receipt date by the supplier

15 7 Element Order for Power Mobility Devices(PMD) The 7EO must meet all of the requirements below: Beneficiary's name Description of the item that is ordered. This may be general e.g., "power operated vehicle", "power wheelchair", or "power mobility device" or may be more specific. Date of the face-to-face examination Pertinent diagnoses/conditions that relate to the need for the POV or power wheelchair Length of need Prescribing physician's signature Date of prescribing physician's signature 43 Order Type Guidance Requirements Evidence of Receipt Standard WOPD 5 Element Order (ACA 6407 items) 7 Element Order (PMDS) Written Orders Prior to Delivery CMS or DME MACs 42 CFR (c), 42 CFR (c), Must meet the requirement of a DWO All Elements Date Stamp or Equivalent Date Stamp or Equivalent Supplies /Accessories to the base equipment Must obtain a DWO if not included on the Must obtain and DWO All Elements N/A Must obtain a Detailed Product Description (DPD) 44 When is a New Order Required? There is a change in the order for the accessory, supply, drug, etc. On a regular basis (even if there is no change in the order) only if it is so specified in the documentation section of a particular medical policy When an item is replaced When there is a change in the supplier 45 15

16 Standard Documentation Continued Medical Need Continued Use Request for Refill 46 Safeguards in Making Payments Medicare Contractors shall establish appropriate safeguards to assure that payments are not made beyond the last month of medical necessity. 47 Continued Medical Need Ongoing Supplies/Rental DME For ongoing supplies and rental DME items Beneficiary s medical record must support that the item continues to be used by the beneficiary and remains reasonable and necessary 48 16

17 Medical Record Documentation to Support Continued Need A recent order by the treating physician for refills A recent change in prescription A properly completed CMN with an appropriate length of need specified Timely documentation in the beneficiary s Medical record showing usage of the item Timely documentation is defined as a record in the preceding 12 months unless otherwise specified elsewhere in the policy 49 What is Continued Use? Continued use describes the ongoing utilization of supplies or a rental item by a beneficiary Suppliers are responsible for monitoring utilization to make sure the DMEPOS item continues to be used by the beneficiary. 50 Continued Use Documentation Any of the following may serve as documentation that an item submitted for reimbursement continues to be used by the beneficiary Timely documentation in the beneficiary's medical record showing usage of the item, related option/accessories and supplies Valid request for refill documentation Supplier records documenting beneficiary confirmation of continued use of a rental item Timely documentation is defined as a record in the preceding 12 months unless otherwise specified 51 17

18 Request for Refill CMS IOM Publication , Medicare Program Integrity Manual, Chapter 4, Section For DMEPOS products that are supplied as refills to the original order, suppliers must contact the beneficiary prior to dispensing the refill Jurisdiction B Supplier Manual, Chapter 8, Documentation 52 Request for Refill Documentation For all items and accessories supplied as refills to the original order: Suppliers must contact the beneficiary prior to dispensing Suppliers must not automatically ship on pre-determined basis Contact with the beneficiary must not take place no sooner than 14 calendar days prior to delivery/shipping date Supplier must deliver the items no sooner than 10 calendar days prior to the end of the usage of the current product Contact may be written or telephone Retrospective attestation statement not sufficient 53 Request for Refill Documentation Documentation must include Beneficiary s name or authorized representative A description of each item that is being requested Quantity of supplies remaining on hand (or) Functionality of accessory being replaced Date of refill request 54 18

19 Refill Documentation Requirements Obtained In Retail Store Signed delivery slip or copy of itemized sales receipt Delivery slip/receipt should indicate items were picked Written Request From Beneficiary Beneficiary name and/or authorized rep (indicate relationship) Statement the beneficiary is requesting a refill Telephone Contact Between Supplier and Beneficiary Beneficiary name and/or authorized rep (indicate relationship) Name of person contacting/receiving call from beneficiary Description of each item requested Statement the beneficiary is requesting a refill Signature of requestor Description of each item requested Date of request Date of contact Quantity/functional condition of Quantity/functional condition of each item still remaining each item still remaining Contact no sooner than 14 calendar days prior to delivery/shipping Shipment/delivery occurred no sooner than 10 calendar days prior to current supplyexhausting 55 Consumable Supplies (supplies that get used up ) Examples are surgical dressings, urological supplies or diabetic testing supplies Supplier should assess and document the remaining supplies Quantifiable Consumable Supplies Determine if the supplies is nearly exhausted and/or compare to the last order filled 56 Nonconsumable Supplies Nonconsumable supplies (supply items that are more durable in nature, but may require periodic replacement) Examples PAP supplies, nebulizer supplies, RAD supplies The supplier should assess whether the supply item remains functional Replacement should be provided only when the item is no longer functional The supplier should document the condition of the item being replaced in sufficient detail to indicate why the replacement is necessary at that time

20 Standard Documentation Proof of Delivery 58 Proof of Delivery (POD) Supplier Standard 12 Signed POD required to verify beneficiary received DMEPOS item Required to verify beneficiary received item Must be available upon request If not provided, claim denied, overpayment requested If no documentation provided on consistent basis, may be referred to Office of Inspector General (OIG) Maintain documentation for seven years 59 Method 1 - Direct Delivery Delivery directly to a beneficiary by a supplier The POD record must include: Beneficiary's name Delivery address Sufficiently detailed description to identify the item(s) being delivered (e.g., brand name, serial number, narrative description) Quantity delivered Date delivered Beneficiary (or designee) signature Date of service is the date of delivery 60 20

21 Method 2 Deliver/Shipping Service Delivery to beneficiary via shipping service The POD record must include: Beneficiary's name Delivery address Package invoice and delivery confirmation Detailed description of the item(s) being delivered Quantity delivered Date delivered Evidence of delivery Date of service is the shipping date Method 3 Delivery to Nursing Facility Delivery to a nursing facility on the beneficiary s behalf The POD record is based on delivery via Method 1 (direct delivery) or Method 2 (shipping service) Documentation from the nursing facility 62 POD Exception: Anticipation of Discharge Delivery to Facility Delivered for the purpose of fitting/training Two days prior to discharge from hospital or nursing facility DOS equals discharge date POS 12 (beneficiary s home) Delivery to Home Two days prior to discharge from hospital or nursing facility DOS equals discharge date POS 12 (beneficiary s home) 63 21

22 POD Exception: Part A Covered Inpatient Stay May not be billed to DME MAC: Drugs or other DMEPOS used by the beneficiary prior to discharge For purposes other than training and/or fitting Surgical Dressings, Urological Supplies or Ostomy Supplies provided by facility These items are payable to the facility under Part A Medicare Applies to beneficiaries in: Hospitals Skilled nursing facilities (POS 31) Nursing facilities (POS 32) 64 POD: Beneficiaries Entering Medicare Statement of item(s) in beneficiary s possession: Date of delivery Information that supplier examined item Information that the item(s) meet Medicare requirements Signed and dated by beneficiary or designee Rented items Reasonable Useful Lifetime (RUL) begins first day of first rental month DOS Match signature date of beneficiary or designee 65 POD Signature POD can be signed by: Beneficiary Beneficiary s designee Relationship to beneficiary must be noted on delivery slip POD cannot be signed by: Suppliers Employees of suppliers Anyone with financial interest in delivery of item 66 22

23 CGS Administrators, LLC Jurisdiction B DME MAC Updates 67 Voluntary Check Refunds Jurisdiction B and C refunds should not be combined on one check Jurisdiction B Refunds: CGS DME MAC Jurisdiction B P.O. Box St. Louis, MO Jurisdiction C Refunds: CGS DME MAC Jurisdiction C P.O. Box St. Louis, MO Complex Service-Specific Reviews As a result of data demonstrating a high claims payment error rate, MR conducted complex service-specific prepayment reviews Data is from the time period of October 1through December 31, 2016 Total percentage in Top Reasons for Denials section could be greater than 100% because some claims were denied for multiple reasons 69 23

24 Complex Service-Specific Reviews HCPCS Code A4253 Blood Glucose Test Strips 93% of claims denied Increase from previous quarter of 6% Top Reasons for Denials The medical record documentation does not document the specific reason for the additional testing materials for this particular beneficiary (73.71%) Payment for supplies billed above normal policy usage is being denied due to lack of documentation to support that they are reasonable and necessary (38.01%) The medical record documentation does not establish that the treating physician saw the beneficiary and evaluated the beneficiary's diabetes control within 6 months before ordering the quantities of supplies exceeding utilization guidelines (27.72%) 70 Complex Service-Specific Reviews HCPCS Code E0277 Powered Pressure-Reducing Support Surface 75% of claims denied Increase from previous quarter of 12% Top Reasons for Denials The medical record documentation provided indicates one small stage 3 or 4 pressure ulcer on the trunk or pelvis (60%) The medical record documentation provided only indicates stage 2 pressure ulcers on the trunk or pelvis (40%) The medical record documentation provided only indicates one stage 2 pressure ulcer on the trunk or pelvis (40%) 71 Complex Service-Specific Reviews HCPCS Code E1390 Oxygen Concentrator 60% of claims denied Decrease from previous quarter of 2% Top Reasons for Denials The medical record documentation does not support the treating physician has determined that the beneficiary has a severe lung disease or hypoxia related symptoms that might be expected to improve with oxygen therapy (30.92%) The medical record documentation does not support the blood gas study was obtained while the beneficiary was in a chronic stable state (26.82%) Medical records do not verify that the standard treatment regimen associated with the disease condition producing the hypoxia-related symptoms was tried or considered and deemed clinically ineffective (22.79%) 72 24

25 Jurisdiction B Resources Interactive Voice Response (IVR) Unit Phone: Customer Service Telephone Re-openings Phone: Hours of Operation: Phone: Hours of Operation: Monday Friday, 8:00 a.m. 5:00 p.m. ET Monday Friday, 8:00 a.m. 5:00 p.m. ET Paper Claim Submission Address: CGS PO Box Nashville, TN Adjustment Requests (Reopenings), EFT Form Submission, and Written Inquiries Redetermination Requests Overpayment Appeals Address: Fax: Address: Fax: Address: CGS PO Box Nashville, TN CGS PO Box Nashville, TN Also accepted through esmd CGS Overpayment Appeals PO Box Nashville, TN DME MAC Jurisdiction B: Online Resources 74 Jurisdiction B Resources Supplier Manual Local Coverage Determinations Medical Review Resources Online Tools

26 Educational Opportunities Online Educational Welcome Center New Supplier Center Dear Physician Letters Calendar of Events Online Education Podcasts MLNs Video Education Workshops 76 Educational Opportunities 2017 Jurisdiction B Workshops Chicago, IL Indianapolis, IN Cleveland, OH Nashville, TN JURISDICTION B 77 May 4 May 5 May 11 May 12 May 17 May 19 May 23 May 25 May 30 Upcoming Policy Webinars Lower Limb Prosthetics External Infusion Manual Wheelchair Bases Surgical Dressings Hospital Beds Respiratory Assist Devices Oxygen Oxygen LiveLine Plus Enteral Nutrition 78 26

27 Upcoming General Topic Webinars May 2 Documentation Requirements General Principles May 9 Documentation Requirements Orders and CMNs May 9 Medicare 101 May 10 Medicare 102 May 16 Documentation Requirements Refill and Delivery May 18 Reopenings and Redeterminations May 24 Participation and Assignment May 31 Prior Authorization (PAR) Process 79 CGS Website Surveys When visiting and you see the survey, please take a moment to provide feedback. Use ForeSee to give us your thoughts about the CGS website. Website enhancements are based on your requests. Once you complete a survey, you will not be asked again for 30 days. Complete a survey then complete another in a few months to let us know changes have been made. 80 Evaluate Our Services! MSI Live The MAC Satisfaction Indicator (MSI) is the best way to share your opinions directly with the Centers for Medicare & Medicaid Services (CMS) about your experience with us. These survey results will help us find ways to better serve you. RNC=2&MAC=JB DME 81 27

28 mycgs Web Portal mycgs provides access to beneficiary eligibility, claim status, claim denial information, and much more. The mycgs portal mirrors all of the functionality currently contained in the Interactive Voice Response (IVR) unit. mycgs includes several additional and more detailed features than the IVR can provide. FAQs, Registration Guides, and User Manuals are available. To learn more, visit: select JB DME or JC DME, then select the mycgs link from the left navigation menu. Register today! 82 CGS ListServ Stay updated on DME MAC Jurisdiction B news! Sign up for the DME MAC Jurisdiction B ListServ: p?wb =890f20ef Enter your name, location, address, and company Choose the contract and/or specialty information that fits your business Click Submit 83 MR WIZARD MR WIZARD takes the mystery out of CGS Medical Review denials Detailed claim line denials Instant access to denial detail Available 24/7 with no registration needed Just enter the CCN in the appropriate field! If an ADR is associated, status of the ADR will be provided 84 28

29 Social Media 85 Find Us on Facebook and Twitter! Find the CGS DME MAC POE page on Facebook. Like our page and get all of the latest DME MAC POE information and more on the CGS DME POE Facebook page at: Provider Outreach and Education is now on Twitter. on your Twitter account to follow us. Our tweets will include reminders about Medicare requirements, helpful tips, and POE events. 86 GO Mobile CGS GO MOBILE IS KEEPING YOU CONNECTED! CGS Go Mobile works on Apple and Android phones and tablets! The download is free! Access and share important CGS Medicare information from the convenience of your mobile device!

30 CGS Connect Jurisdiction B CGS Connect TM is a unique concierge-level service for suppliers seeking professional review and evaluation of pre-claim documentation before submitting an initial claim to Medicare. Clinical Reviews Urological Supplies (A4353) PAP (E0601) Oxygen and Oxygen Equipment (E1390) Manual Wheelchairs (K0004) Hospital Beds and Accessories (E0260/E0394/ E0301/E0303/E0912) Routine Reviews Glucose Monitors (A4253/E0607NU) Nebulizers (E0570) Oxygen and Oxygen Equipment (E1390) Knee Orthoses (K0901) Knee Orthoses (L1832/L1833/L1843 Estimated MR Response Times: days 88 Questions? 89 Thank you for inviting us! 90 30