WPC  
      -     b%qDH-^qH?6^'@TS/ʦ̈5'D\w2Yk.OLh~cwPUxBrLa~߻`W'0,pȃhOF]GXvJP8u3euirJ6>xK^cb˼a݌Wi'n dl9E,tn2
b]Y^.ڌ3^	DD3чJbZ)M]YM!6Gx煣KkΩrxRcNT>F_C(x>VҴ9v*z:0h,(Cz-?2&cFYc0 h̕hy8nL>}Wo jAZW  #<Fsdm⧟V- ?lDm%!_R+ky98r 	            U   N   ~  	%         U   H             0   4   *         ^  w   @   ^  4        ( hH
  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X< 0  9   Z   0 C o u r i e r   ( W 1 )   R e g u l a r         3| x           (                  T$             
      	   
        E 
     Ӏ  E      D T#                
   T!           @       ReadMeFileforthe1998DurableMedicalEquipment,Prosthetics/Orthotics,andSupplies   	       @    OO  (DMEPOS)FeeSchedulePublicUseFile(PUF)   	     Disclaimer:0    `	 0    `	(#`	(# Inclusionorexclusionofafeescheduleforanitemorservicedoesnot   	 p   implyanyhealthinsurancecoverage.    `	 (#(#  FileName:0    `	 0    `	(#`	(# BecauseoftheDMEPOSfeeschedulesquarterlyupdateprocess,the   	 @   executableyoureceivewillbenamedforthequarterlyreleasecorrespondingtothatfile.ThefollowingnamingconventionswillbeusedtoidentifyeachDMEPOSfeeschedulePUF:  
  (#(#  0     0    `	(#(# 0    `	(#`	(# DME98_A.EXE:0    (#(# January1998release    @ (#(#  0     0    `	(#(# 0    `	(#`	(# DME98_B.EXE:0    (#(# SecondQuarter1998release    0
 (#(#  0     0    `	(#(# 0    `	(#`	(# DME98_C.EXE:0    (#(# ThirdQuarter1998release     
 (#(#  0     0    `	(#(# 0    `	(#`	(# DME98_D.EXE:0    (#(# FourthQuarter1998release     (#(#  File0     0    `	(#(# 0    `	(#`	(# Youhavereceivedaselfextracting,compressedfile.When     (#(#  Contents:0    `	 0    `	(#`	(# decompressed,theexecutableexplodesintofourseparatefiles:   	    DMEBACKwhichoutlinesthepolicyoriginsoftheDMEPOSfeeschedule(inWordPerfect6.1(.wpd)andASCIIte x t(.txt)formats);DMEREADwhichcontainsgeneralinformationaboutthefilescontent,background,organization,updateschedule,andrecordlayout(inWordPerfect6.1(.wpd)andASCIIte  s  x t(.txt)formats);aswellastheDMEPOSfeescheduledataavailableinbothExcel(.xls)andcommadelimited(.csv)formats.    
  (#(#  0     0    `	(#(# 0    `	(#`	(# Additionally,thequarterlyreleasefileswillcontain   gap   GAPCHG   DMECHNG (inExcel(.xls)andcommadelimited(.csv)formats)whichidentifiesthosepriceswhichhavechangedduringthatquarterlyupdatecycle.    
  (#(#  ЀDecompressing0     Aftercopyingtheexecutabletoyourharddrive,usethefollowingstepsto    ! (#(#  theFile:0    `	 0    `	(#`	(# decompressthefile:    "   (#(#  0     0    `	(#(# 0    `	(#`	(# TypeCDandtheharddrivedirectoryyoucopiedto    $" (#(#  0     0    `	(#(# 0    `	(#`	(# PressEnter    % # (#(#  0     0    `	(#(# 0    `	(#`	(# Typethefilenameoftheexecutableminusthe.exe    p&!$ (#(#  0     0    `	(#(# 0    `	(#`	(# PressEnter    `'"% (#(#  Background:0    `	 0    `	(#`	(# TheDMEPOSfeeschedulecontainsfeescheduleamounts,floors,and   	 @)$'   ceilingsforeachprocedurecodesubjecttotheDMEPOSfeeschedulepaymentmethodology.Althoughthesefeescheduleamountsarecontainedinasinglefile,theircalculationshavebeenmandatedbythreeseparatepaymentmethodologies:DME,prostheticandorthotic,andsurgicaldressings.Forfurtherinformationonthesepayment   	 -@),   methodologiesandtheirpolicyhistories,pleaserefertoDMEBACK.WPD.  
  (#(#  File0     0    `	(#(# 0    `	(#`	(# Thisfilecontainsafeescheduleamount,floor,ceiling,jurisdiction,and     (#(#  Organization:0     categoryforeachuniquecombinationofprocedurecode,modifiercode   	 p   (whereapplicable),andstateandissortedinascendingDMEPOScategory/procedurecode/modifierorder. Beginningin1998,    short  
 theprocedurecodeshortdescriptionwillalsobeprovided.
   
  (#(#  UpdateSchedule:0     	 T	  	 Undertheproposedplan,t	 heDMEPOSfeeschedulewillbeupdatedonaquarterlybasis,withthe   	  
p	   January1implementationdatebeingtheprimaryupdate.InadditiontotheJanuaryfile,updatedPUFswillbeavailableinearlyApril,July,andOctober.Carrierswillimplementtheseupdatesbymidmonth.ThesePUFswillbecompletereplacementfilesfortheDMEPOSfeeschedule,notonlythequarterlychanges.Pleaserefertothefilenamesectionforthenamesusedtoidentifyeachrelease. 
   
  (#(#  0     0    `	(#(# 0    `	(#`	(# Note:Thissectionissubjecttochangependingfurtherdiscussionofthe   	     proposedupdateschedule.
   
  (#(#  RecordLayout:0     SeeAttachmentA.	     (#(#  ATTACHMENTA   	          x   X X      V   x 3    	 , X  `	 z
  h u    X3 @    (
(
  RecordLayoutforthe1998DMEPOSFeeSchedulePUF   	    COLUMNNUMBER&NAME0    z
 0    z
(#z
(# 0    h(#(# COMMENT    
 h(#h(#  1HCPCSCODE0    z
 Allcurrentyearactiveanddeletedcodessubjectto   	 0	   DMEPOSfloorsandceilings.  
  z
(#z
(#  21STMODIFIER0    z
 NUPurchased,New    	 z
(#z
(#  0    `	 0    z
`	(#`	(# RRRented  
  z
(#z
(#  0    `	 0    z
`	(#`	(# UEPurchased,Used  
  z
(#z
(#  32NDMODIFIER0    z
 Reservedforfutureuse.     z
(#z
(#  4JURISDICTION0    z
 DDMERCjurisdiction    8 z
(#z
(#  0    `	 0    z
`	(#`	(# LLocalPartBCarrierjurisdiction  
  z
(#z
(#  0    `	 0    z
`	(#`	(# JJointDMERC/LocalCarrierjurisdiction  
  z
(#z
(#  5CATEGORY0    `	 0    z
`	(#`	(# INInexpensiveandOtherRoutinelyPurchasedItems    X z
(#z
(#  0    `	 0    z
`	(#`	(# FSFrequentlyServicedItems  
  z
(#z
(#  0    `	 0    z
`	(#`	(# CRCappedRentalItems  
  z
(#z
(#  0    `	 0    z
`	(#`	(# OXOxygenandOxygenEquipment  
  z
(#z
(#  0    `	 0    z
`	(#`	(# OSOstomy,Tracheostomy&UrologicalItems  
  z
(#z
(#  0    `	 0    z
`	(#`	(# SDSurgicalDressings  
  z
(#z
(#  0    `	 0    z
`	(#`	(# POProsthetics&Orthotics  
  z
(#z
(#  0    `	 0    z
`	(#`	(# SUSupplies  
  z
(#z
(#  0    `	 0    z
`	(#`	(# TETranscutaneousElectricalNerveStimulators  
  z
(#z
(#  6CEILING0    `	 0    z
`	(#`	(# Maximumfeescheduleamount.    (x  z
(#z
(#  0    `	 0    z
`	(#`	(# PleasenotethatsinceE0607ispricedvianationalInherentReasonableness,itisnotpricedusingfloorsandceilings.ForE0607,thisfieldwillbefilledwithzeros.  
  z
(#z
(#  0    `	 0    z
`	(#`	(# SincepricingamountsforE1405andE1406weredevelopedbysummingpricingamountsfromsourcecodes,theyarenotsubjecttoceilingsandfloors.  
  z
(#z
(#  7FLOOR0    `	 0    z
`	(#`	(# Minimumfeescheduleamount.    0% ) z
(#z
(#  0    `	 0    z
`	(#`	(# PleasenotethatsinceE0607ispricedvianationalInherentReasonableness,itisnotpricedusingfloorsandceilings.ForE0607,thisfieldwillbefilledwithzeros.  
  z
(#z
(#  0    `	 0    z
`	(#`	(# SincepricingamountsforE1405andE1406weredevelopedbysummingpricingamountsfromsourcecodes,theyarenotsubjecttoceilingsandfloors.  
  z
(#z
(#  8ALABAMAFEESCHEDULEAMOUNT9ARKANSASFEESCHEDULEAMOUNT   	 -)4   Ї10ARIZONAFEESCHEDULEAMOUNT11CALIFORNIAFEESCHEDULEAMOUNT12COLORADOFEESCHEDULEAMOUNT13CONNECTICUTFEESCHEDULEAMOUNT        	 `	   14DISTRICTOFCOLUMBIAFEESCHEDULEAMOUNT15DELAWAREFEESCHEDULEAMOUNT16FLORIDAFEESCHEDULEAMOUNT17GEORGIAFEESCHEDULEAMOUNT18IOWAFEESCHEDULEAMOUNT19IDAHOFEESCHEDULEAMOUNT20ILLINOISFEESCHEDULEAMOUNT21INDIANAFEESCHEDULEAMOUNT22KANSASFEESCHEDULEAMOUNT23KENTUCKYFEESCHEDULEAMOUNT24LOUISIANAFEESCHEDULEAMOUNT25MASSACHUSETTSFEESCHEDULEAMOUNT26MARYLANDFEESCHEDULEAMOUNT27MAINEFEESCHEDULEAMOUNT28MICHIGANFEESCHEDULEAMOUNT29MINNESOTAFEESCHEDULEAMOUNT30MISSOURIFEESCHEDULEAMOUNT31MISSISSIPPIFEESCHEDULEAMOUNT32MONTANAFEESCHEDULEAMOUNT33NORTHCAROLINAFEESCHEDULEAMOUNT34NORTHDAKOTAFEESCHEDULEAMOUNT35NEBRASKAFEESCHEDULEAMOUNT36NEWHAMPSHIREFEESCHEDULEAMOUNT   	 .h)5   37NEWJERSEYFEESCHEDULEAMOUNT38NEWMEXICOFEESCHEDULEAMOUNT39NEVADAFEESCHEDULEAMOUNT40NEWYORKFEESCHEDULEAMOUNT41OHIOFEESCHEDULEAMOUNT42OKLAHOMAFEESCHEDULEAMOUNT43OREGONFEESCHEDULEAMOUNT44PENNSYLVANIAFEESCHEDULEAMOUNT45RHODEISLANDFEESCHEDULEAMOUNT46SOUTHCAROLINAFEESCHEDULEAMOUNT47SOUTHDAKOTAFEESCHEDULEAMOUNT48TENNESSEEFEESCHEDULEAMOUNT49TEXASFEESCHEDULEAMOUNT50UTAHFEESCHEDULEAMOUNT51VIRGINIAFEESCHEDULEAMOUNT52VERMONTFEESCHEDULEAMOUNT53WASHINGTONFEESCHEDULEAMOUNT54WISCONSINFEESCHEDULEAMOUNT55WESTVIRGINIAFEESCHEDULEAMOUNT56WYOMINGFEESCHEDULEAMOUNT57ALASKAFEESCHEDULEAMOUNT0    u Feescheduleamountsfornoncontinental   	 #@(   areasarenotsubjecttotheceilingsandfloors.  
  u(#u(#  58HAWAIIFEESCHEDULEAMOUNT0    u Feescheduleamountsfornoncontinental   	 '`",   areasarenotsubjecttotheceilingsandfloors.  
  u(#u(#  59PUERTORICOFEESCHEDULEAMT0    u Feescheduleamountsfornoncontinental   	 0*%0   areasarenotsubjecttotheceilingsandfloors.  
  u(#u(#  60VIRGINISLANDSFEESCHEDAMT0    u Feescheduleamountsfornoncontinental   	 P-(4   areasarenotsubjecttotheceilingsand   	 .h)5   floors.  
  u(#u(#  61SHORTDESCRIPTION   X X  V    X]  X X X 