There are some real changes coming to the way you do things, and if you’re not prepared, you could face denials or even loss of network status. The simple truth is that compliance is key in the world of DME/HME, so you need to know how to operate effectively. But with all of the changing rules and regulations related to your workspace, it can be tough to keep everything straight. So, if your team has started to slip up when sending out claims, let’s talk about ways to be prepared for April 13th; that’s when new CMS compliance for oxygen delivery goes into effect.
Here at Medical Auditing Solutions, we understand the healthcare landscape for a DME/HME supplier. We’ve seen requirements come and go, and we also know that when you are a little sloppy with your filing, payers have a problem with it. Starting on April 13, 2026, the Centers for Medicare & Medicaid Services (CMS) will enforce strict new requirements for eight specific oxygen and oxygen delivery system codes, so you need to be ready. If you’ve got questions about the use of these new codes, we’re here to help you figure them out.
In just a few weeks, there is a new WOPD requirement for oxygen that goes into effect. Talk to Medical Auditing Solutions to find out more about what they do.
What Is A WOPD?
Medicare loves acronyms! Written Order Prior to Delivery (WOPD) which you may have been doing for Oxygen due to state pharmacy rules, but now Medicare compliance requirements are shifting once again. This time, the changes relate to oxygen and oxygen delivery system orders, and if you’re not ready, you need to get there quickly. Because in just a few short weeks, your office could face a denial if you use the wrong ones.
This new requirement applies to all these codes starting 4/13/26:
Stationary & Portable Systems: E0424, E0431, E0433, E0434, E0439
Oxygen Concentrators: E1390, E1391, E1392
AI Reviews Are Used In Prior Authorization
With the tech world evolving, you can be sure that insurance companies and government agencies are taking notice. These groups are always trying to find ways to be more efficient, and Artificial Intelligence is becoming a big part of how they do that. AI programs are now being used to automatically weed out noncompliant claims.
That means that you need to know how to follow their rules. CMS has implemented review process initiatives like the WISeR model. While these can certainly speed up approval times, AI can also deny claims in an instant. So, be ready for this new world with compliance assistance from Medical Auditing Solutions.
Be Ready For April 13th With MAS
If your office uses oxygen or oxygen delivery, then you should know that there are code changes coming quickly. To find out more about new CMS requirement for DME/HME, call Medical Auditing Solutions at (972) 459-1508 today.