Effective October 15, a new Final Rule issued by the Centers for Medicare & Medicaid Services (CMS) will allow the Medicare Shared Savings ...

WASHINGTON – CMS has issued a final rule that addresses suspicious billing activity within the Medicare Shared Savings Program that resulted in an increase in DMEPOS billing for certain intermittent ...

2. Two intermittent urinary catheter codes are flagged as highly suspect, and payments for them are excluded. Codes are considered suspect when there is an unexplained spike in claims, either in ...

The rule allows CMS to more closely monitor two Healthcare Common Procedure Coding System (HCPCS) billing codes for urinary catheters: A4352, an intermittent urinary catheter with a curved tip, and ...

WASHINGTON – CMS has issued a final rule that addresses suspicious billing activity within the Medicare Shared Savings Program that resulted in an increase in DMEPOS billing for certain intermittent ...

The 2025 Physician Fee Schedule includes a methodology to address suspicious billing activity from 2024 onward. 2. The bill addressed two CPT codes identified as suspect: A4352, intermittent urinary ...

Without intervention, the urinary catheter scandal would “jeopardize the integrity of MSSP,” CMS explained. It details that two codes, both for different types of intermittent urinary ...

When this happens, a sterile, flexible tube called a urinary catheter is inserted into the urethra (where urine leaves the body) and is gently pushed up until the end rests in your bladder. The ...

The intermittent self-catheterization questionnaire (ISC-Q) is a valid and reliable tool to assess the quality of life (QOL) in patients with neurogenic lower urinary tract dysfunction (NLUTD) who ...