VGM DC Link Blog Home

CGS preparing for mass adjustments as a result of 2016 CURES Act

Yesterday DME contractor, CGS announced they are preparing to begin mass adjustments to all claims covered under the Section 16007 of 21st Century Cures Act for DMEPOS items for Jurisdiction B and C. It was indicated in yesterday’s announcement that the process will take approximately 24 weeks to complete, adjusting up to 40,000 claims per day in Jurisdisction C and 20,000 per day in Jurisdiction B.

The van Halem Group published a blog post going into further detail about the announcement, click here to view the article.

As many House members are back in their home districts this week holding townhalls, this time is an excellent opportunity to share concerns about such a long delay in payment. There will be another opportunity to reach members of Congress at the AAHomecare Fly-In May 24 and 25 and request to expedite this payment process in any way possible. Sharing this information with your member of Congress will reinforce the urgency to provide relief for providers in rural areas.

Implementation date is July 3, 2017. Billing staff will need to be versed in the Change Request (CR) 9968 instructions. Click here to view an information video from CGS.

Click here to read the full announcement from CGS.