An October 31 final rule by the Centers for Medicare & Medicaid Services (CMS) stated that any changes to the definition of “minimal self-adjustment” will not be finalized. The rule, “Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies,” among other things, sought to clarify the definition of the term minimal self-adjustment as it relates to the provision of custom-fitted and off-the-shelf (OTS) orthoses. CMS did state, however, that it may address this provision in future rulemaking.
This rule, which takes effect January 1, 2015, also sets forth the methodology for adjusting the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) fee schedule payment amounts using information from the Medicare DMEPOS Competitive Bidding Program (CBP).
