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CMS releases January 1, 2016 fee schedule amounts for non-bid areas

On November 23, 2015, CMS announced the release of the January 1, 2016 Medicare DMEPOS fee schedule amounts for items included in previous and current competitive bidding programs. These items were adjusted (downward) in accordance with CMS Final Rule 1614-F, and sections 1834(a)(1)(F) and 1842(s)(3)(B) of the Social Security Act. With the exception of current competitive bid areas, all U.S. and territory ZIP codes are affected.

VGM has prepared a presentation to clarify the new payment methodologies, as well as providing an update of current legislative activities that may mitigate some of the negative aspects of the program.

Please view the Preparing for the Expansion of Competitive Bidding Program to Rural America in 2016, by clicking here. Here you will find the January 1, 2016 fee schedule for each state and rural (all ZIPS except CBAs) areas, an estimator for the July 1, 2016 additional payment reduction, and a detailed implementation timeline and description.

If you have any questions feel free to contact Mark Higley at or call 888.224.1631 (O) or 319.504.9515 (C).