Reimbursement


CMS Plans to Expand PMD Prior Authorization Demo

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

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.

Separate Benefit Category Bills

Funding

2014 CRT Funding

While the Current Landscape Resembles Rocks & Hard Places, Separate Benefit Category Bills Bring Hope

As the year draws to a close, the CRT community anticipates a new face-to-face requirement for DME, waits for word on capped rentals, and pins its ultimate hopes on a separate benefit category for Medicare.

Editor's Note

Bigger Picture, CMS, Bigger Picture

NGS Announces Q3 Denial Rate for Prepayment Power Chair Review

Denial rate is reported to be higher than the previous quarter's.

NHIC Describes CERT Errors on Wheelchair Claims

Sample claims are said to be representative of the most commonly seen mistakes.

NHIC Announces Upcoming IVR Limitations

Expect some Jurisdiction A information to be inaccessible this week.

Mobility Management Podcast