{"abstract":"This proposed rule would clarify that respiratory assist devices with bi-level capability and a back-up rate must be paid as capped rental items and not paid as items requiring frequent and substantial servicing (FSS), as defined in section 1834(a)(3) of the Social Security Act. This action would correct coding and payment errors, which began in 1994, when some Medicare contractors misinterpreted our statutorily prescribed policy and allowed these devices to be paid under the category for items requiring FSS.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2003/08/22/03-21443.html","cfr_references":[{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"68 FR 50735","comment_url":null,"comments_close_on":"2003-10-21","correction_of":null,"corrections":[],"dates":"Comment Date: Comments will be considered if we receive them at the appropriate address, as provided below, no later than 5 p.m. on October 21, 2003.","disposition_notes":null,"docket_ids":["CMS-1167-P"],"dockets":[],"document_number":"03-21443","effective_on":null,"end_page":50739,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2003/08/22/03-21443.xml","html_url":"https://www.federalregister.gov/documents/2003/08/22/03-21443/medicare-program-payment-for-respiratory-assist-devices-with-bi-level-capability-and-a-back-up-rate","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/03-21443?publication_date=2003-08-22","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2003-08-22/03-21443/mods.xml","not_received_for_publication":null,"page_length":5,"page_views":{"count":118,"last_updated":"2026-05-29 12:15:10 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2003-08-22/pdf/03-21443.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2003-08-22","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2003/08/22/03-21443.txt","regulation_id_number_info":{"0938-AL27":{"issue":"200304","html_url":"https://www.federalregister.gov/regulations/0938-AL27/payment-for-respiratory-assist-devices-with-bi-level-capability-and-a-back-up-rate-cms-1167-p-","title":"Payment for Respiratory Assist Devices With Bi-Level Capability and a Back-Up Rate (CMS-1167-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200304&RIN=0938-AL27&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AL27"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":50735,"subtype":null,"title":"Medicare Program; Payment for Respiratory Assist Devices With Bi-level Capability and a Back-up Rate","toc_doc":"Respiratory assist devices with bi-level capacity and back-up rate; payment","toc_subject":"Medicare:","topics":["Administrative practice and procedure","Health facilities","Health professions","Medicare","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Proposed Rule","volume":68}