07-23-24 “HCPCS Coding: The Impact on Access to Assistive Technology” Rita Stanley

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Date: 07-23-2024 at 4:00 pm ET

Credit: .1 CEU

Speakers: Rita Stanley

Level: Beginner, Intermediate & Advanced

Access to important technologies is significantly impacted by HCPCS codes. Understanding the current processes to obtain needed change is important for manufacturers, suppliers, and clinicians. Over the past three decades, level II HCPCS codes have impacted access to innovative technology, and technologies with clinically important features and options. The Centers for Medicare and Medicaid Services (CMS) is the agency responsible for overseeing HCPCS coding decisions. Coverage and payment are constrained by HCPCS coding. Before manufacturers or suppliers attempt to utilize any of the coverage or coding processes, it is important to understand recent policy changes.

Learning Outcomes:

  • Identify the top 3 process changes regarding coding, coverage and payment.
  • Describe supplier and manufacturer risk associated with the use of HCPCS codes.
  • Describe the methodology changes related to the development of Medicare pricing for DMEPOS.