Pulmonology Coding Alert

CMS wants to make your life easier with a new EHR component.

CMS is really on a roll this year to ensure your orders for airway devices are compliantly presented.

The agency’s piloting a new initiative to develop a Medicare Fee for Service (FFS) Documentation Requirement Lookup Service prototype that feeds information from vendors and payers directly into your practice’s EHR system. 

CPAP focus: They’re beta testing the new system with documentation requirements for oxygen and continuous positive airway pressure (CPAP) devices.

The goal: The beauty of the Documentation Requirement Lookup Service is that it’s going to do a lot of things to make your life easier, once the pilot testing is complete and the kinks worked out, according to CMS, including:

• reduce provider burden, 
• reducing improper payments and appeals; and 
• improving “provider to payer” information exchange. 

The prototype system “will support two use cases, CPAP and oxygen therapy, and has full integration with CDS Connect, which is essentially a repository for storing our backend rules and templates,” said Larry Decelles, DLRS Technical Lead for the MITRE CMS Alliance for Modernizing Healthcare (CAMH) Team, in a May 14 Special Open Door Form on the new project.

Resource: For more information and to access the slide presentation for the SODF, see go.cms.gov/MedicareRequirementsLookup.