Homecare Experts
ADA, HME Stand For Independence
What 20 years of ADA means for HME patients and providers.
AAHomecare Update by Tyler J. Wilson
Don't Be Surprised
CMS is proposing a raft of changes for 2011.
Washington Wisdom by Cara C. Bachenheimer
Use It or Lose It!
It's time to do some spring cleaning in your sales department.
Sales Notebook by Louis Feuer
Pharmacy Accreditation
New health reform law contains an exemption for some.
Accreditation Now by Mary Ellen Conway
Once More — with Feeling
The loan closet doors are open, but enter with caution.
Compliance University by Neil Caesar
Pre-Payment Reviews
Steps to prepare for and survive this life-altering event.
Law School by Jeffrey S. Baird
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Working Down Denials
Sarah Hanna is a reimbursement consultant and vice president of ECS Billing & Consulting, Tiffin, Ohio, and specializes in proper billing protocols, Medicare coverage guidelines and billing office procedures. She can be contacted at 419/448-5332 or sarahhanna@bright.net.
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E0601 CPAP
CPAP denials are eating into HME revenues....
E1390 Oxygen Concentrator
Let's review the results of the DME MAC's prepayment complex medical review of oxygen and oxygen equipment, posted June 8....
E0607 Home Blood Glucose Monitor
Looking at Medicare denial percentages for the E0607, home blood glucose monitor, the high numbers have held steady at 35 percent in 2009 and 35.3 percent for the first quarter of 2010....
HCPCS E0181 — Power Pressure Reducing Mattress Overlay/Pad, Alternating, With Pump
The E0181 has an overall 15.2 percent denial rate, and one of the top denial reasons is CO50: These are non-covered services because this is not deemed a "medical necessity" by the payer....
HCPCS E0720 and E0730 — Transcutaneous Electrical Nerve Stimulation (TENS) Devices
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid....
K0007 Extra Heavy Duty Wheelchair
Manual wheelchairs are one of the many products that require a lot of work and documentation to receive payment from Medicare....
E0935 Continuous Passive Motion Exercise Device for Use on Knee Only
Data shows that the CPM has an overall denial rate of 32.7 percent for Medicare. The top denial reason code is CO50...
E0607 Blood Glucose Monitor, Home
This HCPC code had a 28 percent denial rate last year, and three of the top denial reason codes were related to same or similar equipment issues....
E0277 Powered Pressure-Reducing Air Mattress
Denials for this claim ran 22.7 percent in the second quarter this year....
E0463 Pressure Support Ventilator
HCPCS code E0463 (pressure support ventilator) is a standout as one with a higher-than-average denial rate — 33.5 percent overall....
