Reimbursement


CMS Postpones K0009 Policy Change Implementation

Change will impact products currently under the K0009 HCPCS Code.

PMD Demonstration Project Begins in 7 States

Prior authorization is required for PMD in participating states for the next three years.

Open Door Forum: Will PMD Electronic Template Work?

Providers express concern over template's practicality for physicians.

DME MACs to Providers: Supply PWC of "Sufficient Quality" to Last 5 Years

Bulletin issued because of provider questions on replacement policies.

5010 Enforcement Discretion Period Nears End

Electronic standards "grace period" started in January, but ends in June.

Separate Benefit Category Bill Gains Support

First 10 co-sponsors for H.R. 4378 sign on to complex rehab bill.

Prepayment Probe for Group 2 Support Surfaces Continues in Jurisdiction B

Last year's E0277 probe resulted in a 93-percent claims error rate, NGS says.

PECOS Allows Electronic Signatures for Enrollment Applications

New function does not alter who is required to sign.



NGS No Longer to Provide Redetermination Letter Acknowledgements

Suppliers can check status via Connex or IVR system.

NHIC Corp. Describes Recent PMD CERT Errors

Examples explain missing documentation, justification in December claims.

NGS Offers Documentation & Coverage Criteria Checklists

Checklists were created to help suppliers comply with Medicare policy.

Competitive Bidding

Under Fire

Is Competitive Bidding Hurting Your Access to Home Medical Equipment Benefits?

CMS Unveils Cover Sheet, Flow Chart for PMD Demo

Providers continue to worry about their ability to meet Medicare delivery timelines

DME MACs Clarify "Amount Paid" on Assigned Medicare Claims

Clarification applies to Item 29 on the CMS-1500 claim form.

Funding Essentials

A Real Opportunity for Complex Rehab to Move Ahead?

NHIC to Stop Sending Hard-Copy Acknowledgement Letters

New policy takes over on April 1, 2012.

Clayback: Many PMD Errors Due to Confusion, Not Fraud

NCART executive director suggests high error rate is partly caused by factors such as complexity of documentation requirements.

PMD Demo Project Conference Call Reveals Details, Provider Concerns

Callers ask about pre-authorization turnaround times and protection from future audits.