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October 19, 2023 CMS announced that, effective January 1, 2024, suppliers will be able to bill CGM supplies in 90 day increments.
According to change request CR13397, the purpose of this Change Request (CR) is to instruct Medicare
Administrative Contractors... September 27, 2023 The van Halem Group has identified an increase in UPIC audit requests for CGM and supplies for both pandemic and current dates of service. The UPICs are auditing providers on both a prepayment and postpayment basis. CMS recently indicated that they wanted... March 6, 2023 Blood Glucose Monitors and Supplies Compliance DME Documentation Medicare released the final draft of the new Glucose Monitor LCD and Policy Article with an effective date of 4/16/2023. The change was completed after a response to comments for the LCD. This new policy revamps the current CGM coverage criteria with... December 23, 2022 Effective January 1, 2023, claims submitted to Medicare for continuous glucose monitor (CGM) receivers, supplies and accessories using codes K0553 and K0554 will be rejected. These codes are discontinued on 12/31/2022. Suppliers that provide CGM devices... June 16, 2021 The FUTURE Local Coverage Article: Glucose Monitor - Policy Article (A52464) and FUTURE Local Coverage Determination (LCD): Glucose Monitors (L33822) are now available for viewing on the CMS website. While most of the edits are minor changes to verbiage,...