Reimbursement


DME MACs Issue Bulletin on Lithium Battery Coding

Contractors cite confusion between rechargeable and non-rechargeable batteries.

NHIC Launches Live Line Sessions for Fridays

New program allows providers to chat live with NHIC staffers about Medicare funding issues.

CGS to Conduct More Pre-Payment Reviews

Standard manual wheelchair codes are included in the Jurisdiction C list.

CMS Plans to Expand PMD Prior Authorization Demo

Federal Register information says agency wants to add 12 states to the demonstration roster.

No Delay: Capped-Rental Transition Goes Ahead

Fifty wheelchair-related HCPCS codes move from Medicare's routinely purchased payment category to capped rental.

Dan Fedor Joins VGM Group

Industry veteran will lend his expertise to the organization's funding department.

Editor's Note

Chasing Audits: A True Story

DME MACs Distribute Dear Physician Letter

New DME face-to-face examination requirement is explained to prescribing entities.

Audit Headaches Drive VGM Members to Capitol Hill

Office of Medicare Hearings & Appeals event could give the industry a chance to sound off about audit challenges.



NGS Releases Q4 Group 2 PWC Review Results

Failure to disqualify lesser types of mobility equipment is a common reason for claims denials, DME MAC says.

Industry: Scooter Store Repair "Remedy" Won't Help Consumers

Providers who want to repair former Scooter Store equipment face problems with documentation and payment.

DME MACs Announce Addition of K0900 Customized Code

Code is reserved for customized equipment not able to be grouped with other product types.

Medicare Announces Intent to Pay for Repairs to SCOOTER Store PMDs

Transfer of PMD ownership to Medicare beneficiaries clears a path for other providers to step in.

NHIC Reports Q3 K0823 Review Results

Jurisdiction A DME MAC announces a charge denial rate sharply lower versus previous quarters.

Stakeholders Seek to Elevate CMS Capped-Rental Discussion

Controversial final rule has industry taking its arguments to Congress.

"Dear Physician" PECOS Letter Now Available

Implementation affecting DMEPOS prescriptions will start in January.

CMS Finalizes Capped-Rental DME Reclassifications

Despite the many comments submitted by different factions, the final CMS rule looks much like the proposed rule that came before it.

CMS: Make Sure PMD Order Comes from Eligible Prescriber

Starting April 1, a new Change Request will cause claims denials if prescribing entity isn't eligible.

DME MACs Issue Reminder About Billing for Walkers

Contractors note provider errors involving unbundling of brake attachments.

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