Reimbursement


NGS Creates Tips for Same/Similar Equipment Claims

Jurisdiction B DME MAC says "same/similar" explanation is among the most common reasons for denial.

Suppliers Urged to Prepare for ICD-10 Transition

New codes will apply to all HIPAA-covered entities.

Pennsylvania Teleconference to Educate Consumers on NCB Dangers

Town hall event to be co-hosted by PAMS and People for Quality Care.

NHIC Announces Results of Q3 K0823 Prepayment Review

DME MAC reports it denied 55 percent of power chair claims involved.

PECOS Warnings Are Back on DME Claims

CMS warns that future claims from prescribers not in PECOS will not be paid.

Funding 2012

New Codes, A New NCB Round & Hello, Demo!

Analysis and expertise on 2012 funding issues by Claudia Amortegui, president, The Orion Group.

PMD Demonstration Project Under Fire from Providers, Consumers

Medicare prepayment reviews slated to begin Jan. 1 in seven states with high PMD usage.

CMS Revises Repair & Replacement Policy for Competitively Bid Items

New Fact Sheet details rules for billing for parts and repairs to DME under competitive bidding.

NGS Announces Results of Support Surfaces Prepayment Probe

Jurisdiction B DME MAC reports high error rate in claims it examined.



CMS to Scrutinize PMD Claims in 2012 Demonstration Project

Medicare claims in seven states will be subjected to prepayment review and prior authorization.

Urological Supplies Prepayment Review to Continue in Jurisdiction B

National Government Services review concerns Medicare claims for code A4353.

NGS Discontinues Second Overpayment Demand Letter

New policy eliminates second warning regarding refund requests.

Funding Essentials

Power Mobility Device Options: Coding Q&A

Automotive Accessibility

Funding Essentials: The Reimbursement Side of Crash-Test Standards

Providers Reminded About Proper Electronics Billing

Clarification document from four DME MACs gives examples of proper procedures for power chair electronics billing.

NGS: Proper Info Needed for Redeterminations

NGS reminds providers what information is needed for redetermination requests.

Medicare Contractors to Attend Medtrade

Attendees to include reps from four DME MACS, NSC, CEDI and CBIC.

Providers Reminded of Beneficiary Authentication Info When Using IVR

Information is needed regardless of type of inquiry.

CMS Requests More Info on Proposed California Medicaid Cuts

On Sept. 28 deadline, CMS asks for additional data on how beneficiaries' access would be impacted.

Podcast with Tim Casey on Compliance

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