Reimbursement


AAHomecare's Ryan: New Audit Bill Is "Very Passable"

H.R. 5083 seeks to bring relief and transparency to a process that's crippling providers.

F2F Exams: CMS Clarifies Policy & Issues "Dear Physician" Letter

Medicare details who can conduct the examinations and the responsibilities of the prescribing physicians.

RESNA Updates Standing Chairs Paper

RESNA releases an updated standing wheelchairs position paper.

Standing Frames & Wheelchairs

ATP Series

Justify It: Standing Frames & Wheelchairs

Research supports the many possible benefits of standing for wheelchair users. The next challenge: To get funding sources to buy in.

NGS: Q1 PWC Claims Error Rate Remains High

Nearly 400 power wheelchair claims were examined in latest prepayment review.

AAHomecare to Create Tracking System for Audits

Announcement at Washington Legislative Conference focuses on proving the harm that audits are doing.

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.



No Delay: Capped-Rental Transition Goes Ahead

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

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.

Mobility Management Podcast