CMS Clarifies When to Use JW and JZ Modifiers

Posted: 11/02/2023

CMS has updated its JW and JZ modifier FAQs for additional clarity on billing with these modifiers. FAQ #6 virtually excludes those that bill the DME program. The applicable DME policy articles (EIP, IVIg and nebulizer) state that “The JW and JZ modifiers are not required for drugs dispensed by the supplier and self-administered by the patient or caregiver in the patient’s...

Sunsets... great for romance, not so great for software.

Posted: 10/19/2023

Sunsets... great for romance, not so great for software. To “sunset” something means it’s coming to an end, and specifically a “sunsetting” software is a common term used in our industry to describe a software product that is no longer being developed. As you’re reading this, think about one of your common customer service workflows. A simple example...

Reasons for Discontinuation of Home Infusion Services: A 2021 & 2022 Comparison

Posted: 10/17/2023

The National Home Infusion Foundation’s (NHIF) Status at Discharge Benchmarking initiative is based on the need for research that evaluates the safety of home infusion services and aims to understand why patients discontinue their home infusion service. The goals of the program include obtaining data on the percentage of patients who complete their home infusion medication therapy and...

NHIA RELEASES FIRST PRACTICE STANDARD FOR MECHANICAL PUMP USE IN THE HOME – OPENS COMMENT PERIOD

Posted: 10/06/2023

NHIA has released a draft practice standard that describes situations that may require the use of electronic mechanical pumps to minimize adverse reactions and promote adherence to infusion therapies administered in the home. NHIA practice standards represent a consensus of professional judgment, expert opinion, and documented evidence and are meant to provide guidance and...

Navigating HME Costs: Private Pay vs. Insurance Coverage from the Patient's Perspective

Posted: 09/29/2023

Home Medical Equipment (HME) plays a vital role in improving the quality of life for individuals with various medical conditions and disabilities. Whether you need a wheelchair, oxygen concentrator, or a hospital bed, acquiring the right HME is crucial. However, the question of how to pay for these essential devices often looms large. In this blog post, we'll explore the options of private...