Reimbursement


Medicare Separate Benefit Bill Reintroduced in U.S. House

New bill includes language to ensure complex rehab technology equipment can be purchased outright rather than relegated to capped-rental status.

Claims Error Rate for NGS PMD Prepayment Review Drops Sharply

Jurisdiction B DME MAC also reviews far fewer claims in last quarter of 2014.

Seat Elevation

Funding Series

Justify It: Seat Elevation

Despite a Myriad of Benefits, This Positioning Option Remains a Tough Sell to Funding Sources.

Seat elevation can make the world a more accessible place for wheelchair users, and can facilitate the safe performance of a number of mobility-related activities of daily living. Why then are funding sources lagging in recognizing the many benefits of this positioning opportunity?

Access to Complex Rehabilitation Technology

Reimbursement Series

Access to Complex Rehabilitation Technology

Can We Still Improve People's Lives?

Rita Stanley examines how two decades of Medicare policy changes -- many of them subtle -- have altered the access landscape for today’s beneficiaries.

NGS Issues Reminder of Item 23 for PMD Claims

Bulletin regards Unique Tracking Numbers for Prior Authorization Requests for power mobility devices.

NGS Invites Providers to Participate in Bed & Support Surface Documentation Project

Clinicians will review participants' documentation and provide feedback.

NGS Reports Q3 Results for Support Surfaces Review

Widespread prepayment review involves Group 2 pressure-reducing support surfaces.

Our Year

Editor's Note

Welcome to Our Year!

CMS Clarifies E2378 Payment Status

Code was impacted by this year's capped-rental payment category changes.



NGS to Launch Prepayment Probe for Minnesota & Wisconsin Power Chairs

Group 1 power wheelchair code will be the subject of the review.

NHIC Announces Results of Power Chair Widespread Prepayment Review

Latest announcement covers K0823 claims for the first half of 2014.

Medicare PMD Demonstration Expansion Is Underway

Twelve more states have joined the prior authorization program that ends in August.

NGS to Launch Manual Wheelchair Prepayment Probe

Adult tilt-in-space code is among those to be affected, says Jurisdiction B DME MAC.

NGS Announces Hospital Bed Widespread Prepayment Review

Providers will need to supply additional documentation as requested for claims involved in the probe.

NHIC Reports Results of Latest Group 2 Support Surfaces Review

Jurisdiction A DME MAC says failure to meet coverage criteria was most common cause of denials.

NHIC Broadens Live Line Program

Weekly program will offer live discussion on scheduled topics.

NGS Debuts Redesigned Web Site

New site facilitates registering for future events and downloading past presentations.

New Perspectives

Outcomes Measurement: A Strategy to Stay Competitive

Editor's Note

Same Old Same Old

Seating Benefits Podcast with Ride Designs