Legislation & Public Policy


PECOS Allows Electronic Signatures for Enrollment Applications

New function does not alter who is required to sign.

NGS No Longer to Provide Redetermination Letter Acknowledgements

Suppliers can check status via Connex or IVR system.

Separate Benefit Bill for Complex Rehab Introduced in U.S. House

H.R. 4378 would formally distinguish complex rehab technology and its provision from DME.

HHS Seeking Comments to Proposed ICD-10 Delay

Postponement would change implementation to October 2014.

NHIC Reports Q4 Results of K0823 Prepayment Review

Reviews will continue based on latest rounds of results.

NHIC Corp. Describes Recent PMD CERT Errors

Examples explain missing documentation, justification in December claims.

NGS Offers Documentation & Coverage Criteria Checklists

Checklists were created to help suppliers comply with Medicare policy.

Funding Essentials

Q&A: Understanding & Responding to Medicare Audits



CMS Unveils Cover Sheet, Flow Chart for PMD Demo

Providers continue to worry about their ability to meet Medicare delivery timelines

NGS Announces Q4 PWC Prepayment Review Results

Lack of medical necessity continues to be a stumbling block for providers.

DME MACs Clarify "Amount Paid" on Assigned Medicare Claims

Clarification applies to Item 29 on the CMS-1500 claim form.

Funding Essentials

A Real Opportunity for Complex Rehab to Move Ahead?

NHIC to Stop Sending Hard-Copy Acknowledgement Letters

New policy takes over on April 1, 2012.

Clayback: Many PMD Errors Due to Confusion, Not Fraud

NCART executive director suggests high error rate is partly caused by factors such as complexity of documentation requirements.

PMD Demo Project Conference Call Reveals Details, Provider Concerns

Callers ask about pre-authorization turnaround times and protection from future audits.