Functional Neuromuscular Electrical Stimulation

By June 30, 2026: Billing team must implement the following changes: (1) Update billing system to automatically DENY all claims for Functional Neuromuscular Electrical Stimulation devices, including NMES, FNS, FES, ENS, and EMG-triggered neuromuscular stimulation; (2) Add these device types to the non-covered/investigational services list in the claims processing system; (3) Create a patient notification template informing patients that FNMES devices are investigational and not covered, and patients will be responsible for all costs; (4) Instruct providers and front desk staff to provide this notification BEFORE rendering any FNMES services; (5) Configure system to generate automatic patient financial responsibility forms for any FNMES claims received. Failure to implement these changes will result in inappropriate claim processing and potential compliance issues. Claims for FNMES devices should be processed as patient responsibility rather than insurance denial.