Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC ii. Revisions as a result of the MIPPA (1) Findings related to non-routine maintenance and servicing (including repair) Section 1834(a)(5)(F)(ii)(III), as amended by section 144(b)(1) of the MIPPA, authorizes similar payments for maintenance and servicing of supplier-owned oxygen equipment furnished after the 36-month rental period if we determine such payments are reasonable and necessary. Based on a careful review of this issue, as discussed below, we have determined that at this time it is not reasonable and necessary to pay for non-routine maintenance and servicing (including repair) of supplier-owned oxygen equipment. Given that the supplier owns the equipment, we believe that the supplier should be responsible for maintaining their equipment in working order as they did during the 36-month rental period. In addition, oxygen equipment is largely reliable equipment which requires minimal maintenance and servicing during the first 5 years of use. Warranties covering 5 years are generally available for the top selling brands of oxygen equipment and as discussed in the November 9, 2006 final rule (71 FR 65917), we understand from manufacturers that such products are generally dependable. The Department of Veterans Affairs (VA) has 854
CMS-1403-FC reported to us that, based on their experience, oxygen concentrators will usually operate for 5 years without the need for significant repair or replacement of costly parts. The VA purchases and maintains oxygen equipment, including oxygen concentrators, for veterans through its Veterans Integrated Service Network (VISN). In a September 2006 report entitled “Medicare Home Oxygen Equipment: Cost and Servicing,” (OEI-09-04-00420), the Office of Inspector General (OIG) of the Department of Health and Human Services similarly found that only minimal servicing and maintenance for oxygen concentrators and portable equipment is necessary. The OIG also found that suppliers train beneficiaries to perform routine maintenance of the equipment. As noted in that report, services performed by suppliers during visits to the homes of beneficiaries to perform maintenance and servicing of oxygen concentrators include checking the flow rate prescribed by the physician and checking the concentration of oxygen delivered by the unit. Moreover, the OIG found that only 22 percent of Medicare beneficiaries use oxygen equipment for 36 months or more. Therefore, oxygen equipment is returned to suppliers before the end of the 36-month rental period in approximately 78 percent of cases, and suppliers are then 855
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<strong>CMS</strong>-1403-FC<br />
ii. Revisions as a result of the MIPPA<br />
(1) Findings related to non-routine maintenance and<br />
servicing (including repair)<br />
Section 1834(a)(5)(F)(ii)(III), as amended by section<br />
144(b)(1) of the MIPPA, authorizes similar payments for<br />
maintenance and servicing of supplier-owned oxygen<br />
equipment furnished after the 36-month rental period if we<br />
determine such payments are reasonable and necessary.<br />
Based on a careful review of this issue, as discussed<br />
below, we have determined that at this time it is not<br />
reasonable and necessary to pay for non-routine maintenance<br />
and servicing (including repair) of supplier-owned oxygen<br />
equipment. Given that the supplier owns the equipment, we<br />
believe that the supplier should be responsible for<br />
maintaining their equipment in working order as they did<br />
during the 36-month rental period.<br />
In addition, oxygen equipment is largely reliable<br />
equipment which requires minimal maintenance and servicing<br />
during the first 5 years of use. Warranties covering<br />
5 years are generally available for the top selling brands<br />
of oxygen equipment and as discussed in the<br />
November 9, 2006 final rule (71 FR 65917), we understand<br />
from manufacturers that such products are generally<br />
dependable. The Department of Veterans Affairs (VA) <strong>has</strong><br />
854