A significant change is coming in 2024 for individuals relying on continuous glucose monitors (CGMs) to manage their diabetes. The Centers for Medicare & Medicaid Services (CMS) is set to implement a shift in billing policies for CGMs, effective this January.
If you’re wondering what this means for you, you’ve come to the right place! We’ll answer all the questions you may have about your CGM billing cycles and provide insights to help you navigate the changes in the new year.
How Will CMS Change CGM Billing?
Under current CMS procedures, durable medical equipment suppliers (DMEs), like Aeroflow Diabetes, are required to bill individuals receiving CGM supplies on a month-to-month basis. Monthly claim submissions are made even if you receive a 3-month supply of CGM supplies.
However, the CMS recently announced that it will shift from this conventional monthly billing cycle to 90-day billing cycles. This means that if you receive a 3-month supply of CGM supplies, the claims for all 3 months will be submitted upon your initial shipment.
When Will the CGM Billing Change Take Place?
The CMS has announced that this change will take effect January 1st, 2024.
What Will Happen With My CGM Billing?
Beginning in January of 2024, you will be billed for the precise number of months' worth of supplies you receive. For example, if you place an order for a 3-month supply of CGM supplies, you will be billed for the full 3 months’ worth of supplies, streamlining the billing process and lessening the paperwork for you.
We recognize that this change may pose challenges for some individuals currently receiving CGMs through Aeroflow Diabetes, but know that we are committed to ensuring a smooth transition! To alleviate any concerns, we will be happy to split your balance into 3 monthly payments, with no interest or penalties.
If you have any questions about your CGM billing, contact our team of Diabetes Experts at 1-866-456-6755.
Information provided on the Aeroflow Diabetes website is not intended as a substitute for medical advice or care from a healthcare professional. Aeroflow recommends consulting your healthcare provider if you are experiencing medical issues relating to diabetes care.