Compression Care is Creating a Reference Guide for Medical Professionals to Help You Advise Patients
With the launch of the Lymphedema Treatment Act (LTA) on January 1, 2024, Medicare began to cover compression garments for the treatment of lymphedema. As the coverage began, the team at Compression Care worked diligently to understand how the policy functions in action and create the best possible path for implementation.
We have taken a conservative approach to rolling out our policy to ensure the best financial outcome for our patients. As we move into March, we have further updates about Medicare’s coverage and are announcing our exclusive new Reference Guide for Medical Professionals, available April 1st, 2024.
Here are the most critical updates to Compression Care’s Medicare Claims Policy:
Medicare Standard vs. Upgraded Garments
We have identified the types of compression garments that can be dispensed within the Medicare standard. By April 1st, 2024, Compression Care will provide therapists with an exclusive Reference Guide for Medical Professionals, which breaks down these garment types by manufacturer and specific garment. As you make recommendations for your Medicare patients, this guide will help you refer patients to garments that qualify and identify garments that will be considered upgrades from the Medicare standard because of added features.
Medicare Standard Garments ~ No Upgraded Features or Modifications
For Medicare standard garments ONLY, Compression Care WILL accept assignments beginning April 1st, 2024, and bill on the patient’s behalf with a signed financial responsibility agreement. These standard garments will be marked with an asterisk (*) in the garment breakdown of the Reference Guide we will provide.
Upgraded or Modified Garments Beyond Medicare Standard
For now, we will continue to bill all other non-standard Medicare garments as non-assignment. With upgraded or modified garments, the patient pays up front, AND we will provide a fully detailed and reliable estimate of what the patient should be reimbursed directly by Medicare. To date, patients have been reimbursed for most non-assignment claims within an average of 10 days from the date we file the claim.
Stay Tuned for More Updates!
As the year progresses and we understand more about how Medicare’s coverage of compression garments functions under the Lymphedema Treatment Act, we will continue to update this page with the most important news and information. Helping you and your patients utilize these new Medicare benefits is an integral part of our ongoing commitment to making high-quality compression care more accessible, affordable, and convenient – no matter where you live!
Please don’t hesitate to reach out if you have any questions about LTA implementation or anything else. Thank you for trusting us to care for your patients!
Contact Information
Joshua Perkins
Chief Operating Officer, Compression Care
Email: [email protected] | Phone: (629) 230-7774
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