Billing/Reimbursement

Providers Question Oxygen Maintenance Rules, HHA Payments Collection

The thrust of CMS' Open Door Call April 14 might have been hospice and home health agencies, but officials were peppered with questions regarding home oxygen, competitive bidding financial standards and

RAC 101: Class Is in Session

Apr 07, 2010 –

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.

CMS Turns Up the Heat

Preparing for the inevitable audit — and what to do if it happens to you.

CMS Updates Signature Requirements

CMS updated its signature guidelines for medical review.

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

A Couple of Notes on the PECOS File

CMS released its searchable PECOS database, complete with the names of physicians and non-physician practitioners registered

OIG Spots Trouble with the KX

Use of the KX modifier didn't help in ensuring that DMEPOS providers had supporting documentation on file for their claims — at least in 2006

ZPIC Audits Newest 'Business Buster,' Stakeholders Say

RAC, CERT, ZPIC, take your pick. HME providers are now finding themselves the targets of multiple Medicare audits that, at least in some cases, threaten to cripple their businesses.