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Re: [IP] Re:(IP) Medicare-Dexcom-Smartphones



 We were also told to change certain items on certain schedules. Doesn't mean
that everybody follows directions. YMMV.

Sent from my iPhone

 > On Aug 27, 2017, at 5:00 PM, Pam Brown
<email @ redacted> wrote:
> 
 > I few months I sat in on a conference call that CMS had about the new
coverage
> for the Dexcom. When they said that the smartphone app couldn't be used even
 > as a secondary monitor, a bunch of people including a very articulate guy
from
> JDRF challenged that premise and tried to explain why that made no sense. The
> CMS guy just kept repeating the same thing about smart phones not being DME
> and only DME and supplies related to it were allowed to be covered by
> Medicare. He kept reading some language from the statute about DME and saying
> that using anything at all in conjunction with DME devices that wasn't a DME
> item itself or part of the original bundle would invalidate the entire device
> being considered DME. Everyone kept saying that no one would expect Medicare
> to pay for the smartphone. The guy was clearly stuck in his bureaucratic role
 > and couldn't get past that. I'm sure that Dexcom, JDRF and others are
lobbying
> like crazy to make CMS understand, so hopefully one day the smartphone app
> will be allowed. Pam
> 
> <Maybe someone can explain this to me.I don't get the smartphone
> restriction.Dothey think that PWD's with CGM's are gonna expect Medicare to
> pay for their
> smartphones?I mean, the connection doesn't cost anything. It goes against
> common
> sense.I understand that a person can't expect Medicare to pay for a smart
> phone,
> but not to allow use of an app?>
> .
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