Reimbursement


NGS Announces Prepay Review for Intermittent Catheters

HCPCS code A4353 is affected.

CMS Publishes Face-to-Face Exam Checklist

MLN Matters article seeks to help improve documentation compliance.

Policy Revision to Allow ABN Usage on Group 2 POVs, Group 4 Power Chairs

Still deemed not medically necessary by Medicare, vehicles will qualify for ABN use in the future.

Suppliers Reminded of "Home" Definition for DME

DME MACs are fielding more inquiries on place of service.

NGS Reports 70% Error Rate in K0823 Reviews

Lack of documentation is cited as key error.

Funding Essentials

Avoiding KX Modifier Mix-Ups

H.R. 1041 Co-Sponsor List Tops 80, as Competitive Bidding Criticism Continues

Repeal effort gains support; auctions expert calls program "fatally flawed."

Survey: Medicare Policies Hurting Mobility Providers, Beneficiaries

Competitive bidding, standard power rentals, audits are affecting service and access.

SC BlueCross Acquires CIGNA Government Services

Jurisdiction C DME MAC is included in acquisition.

Bill to Repeal Competitive Bidding Gains Momentum

AAHomecare reports 53 cosponsors in bill's first three weeks.



NHIC Announces Results of K0823 Prepayment Review

Claims reviews to continue for standard power chairs.

NGS to Conduct Prepayment Probe for Group 2 Support Surfaces

Random claims to be checked for medical necessity, documentation requirements.

Pride Rolls Out Galaxy Financing Subsidiary

Programs address elimination of first-month purchase option for standard power.

Invacare Launches Response to Competitive Bidding

New e-book helps providers to assess and focus on their business strengths.

New Reopening Request Form, Checklist Now Available from DME MACs

Form is universal, for all four jurisdictions.

AAHomecare Releases "State of Medicare Mobility" Report; Competitive Bidding Complaints Accumulate

Report decries impact of recent mobility regulations on "most vulnerable" members of society.

DME MACs Announce Directions for Upgrade Modifiers

Instructions concern claims denied for "least costly alternative" reasons.

Ombudsman Told of Round 1 Problems

Complaints include untrained CMS personnel and inconsistent regulations on bid and appeal review.

Pushing Boundries & Dispelling Myths

Understanding the Genesis of Complex Rehab Funding

PECOS Implementation Is Delayed

CMS postpones PECOS' automated edits function, gives no projected start date.

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