Reimbursement


NHIC Announces Upcoming IVR Limitations

Expect some Jurisdiction A information to be inaccessible this week.

NGS Launches Mobile App

App will give providers more direct access to DME MAC's policies and information while on the road.

CGS to Start Medical Review for Catheters

Suppliers will be asked for additional documentation to support affected claims.

CMS Capped Rental

Editor's Note

News Flash: CRT Is Still Not DME

Industry Responds to CRT Capped-Rental Proposed Rule

Medicare's justification: On average, beneficiaries use equipment for just eight months.

DME MAC A Announces K0823 Review Results

Incomplete documentation for medical necessity is cited as common denial cause.

CMS Postpones DME Face-to-Face Implementation

New requirement will impact many types of DME, including manual wheelchairs.

NCART Releases Funding Guide for Standing Devices

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

ATP Series

A Funding Headache

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?



Editor's Note

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

When Will Ultralightweight Chairs Be Recoded?

Wheelchairs & Funding

Funding Watch: When Will Ultralightweight Chairs Be Recoded?

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.

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