Reimbursement


NCART Releases Funding Guide for Standing Devices

Guide offers advice on client evaluations, medical justification and appeals.

Ultralight Update: The Demise of K0009

Wheelchairs & Funding

Ultralight Update: The Demise of K0009

With the Manual Chair Miscellaneous Code Eliminated This Month, Industry Experts Worry About Access

From the elimination of the K0009 HCPCS code to ongoing funding challenges, the ultralightweight wheelchair niche is in evolution. What does that mean for consumers and the next generation of manual wheelchair technology?

When Will Ultralightweight Chairs Be Recoded?

Wheelchairs & Funding

Funding Watch: When Will Ultralightweight Chairs Be Recoded?

ATP Series

A Funding Headache

Editor's Note

CMS Is Just Not That Into Us (or Our Clients, Either)

VGM Signs Partnership Agreement with van Halem Group

VGM members will have discounted access to audit-related services.

Schumer & Cochran Introduce CRT Senate Bill

S. 948 is the companion to H.R. 942, both of which would establish a separate Medicare benefit category for complex rehab technology.

Washington Becomes First State to Pass CRT Recognition Bill

New law goes into effect on Jan. 1, 2014.

New MPP Bill Launched in House

Rep. Price unveils H.R. 1717, which would replace Medicare competitive bidding program.

NCART: Schumer to Introduce Senate Bill for Separate Benefit Category

H.R. 942 was introduced into the House last month.



DME MACS: High Denial Percentages Continue for Prepayment Reviews

Claims for high-dollar items and standard power chairs were reviewed by Jurisdiction A and B DME MACs.

Date Stamp

Editor's Note

The Little Date Stamp That Couldn't

NGS Reports Catheter Kit Prepayment Review Results

Failure to meet coverage criteria is listed among common denial reasons.

NGS to Suppliers: One Fax at a Time

Reminder relates to redetermination requests sent to the Jurisdiction B DME MAC.

NGS Prepayment Support Surfaces Review to Continue

Lack of medical documentation continues to cause claim denials.

With New Congress, Industry Continues Push for MPP Adoption

H.R. 27 is introduced to repeal Medicare's competitive bidding program.

NHIC Announces Q3 Prepayment Review Results for Standard Power Chairs

Examined claims were for HCPCS code K0823.

CMS Announces 2013 HCPCS Code Updates

No grace period given for changes, which went into effect Jan. 1.

LMNBuilder Launches Clinician Webinar Series

Educational series takes OTs and PTs through documentation process.

NGS Announces Q3 Prepayment Results for Power Chairs

Proving medical necessity remains a challenge for providers.

Mobility Management Podcast