Homecare Experts
Hello, OIG?
Special fraud alert on telemarketing just doesn't make sense.
Washington Wisdom by Cara C. Bachenheimer
Move into Action
Make sure your 2010 to-do list doesn't turn into a 'didn't-do' list.
Sales Notebook by Louis Feuer
Time Flies
Is it time to conduct your annual performance evaluations?
Accreditation Now by Mary Ellen Conway
E0935 Continuous Passive Motion Exercise Device for Use on Knee Only
With an overall denial rate of 32.7%…
Working Down Denials by Sarah Hanna
Current Issue
Cover Story
Still Betting on Sleep Therapy
Following CMS' new coverage mandates, a recent survey shows providers are working harder with patients all the way.
advertisement
Recent Popular Articles
Quick Links
Popular HomeCare Experts Articles
Marketplace
advertisement
advertisement
advertisement
advertisement
Billing Reimbursement Archive
ZPIC Audits Cripple Miami Provider
Carolina Ferreiro-Diaz, CEO and owner of Pharma-Express in Miami, has been in the HME business for a dozen years, she has never felt as threatened as she does now...
Q&A: The HITECH Act
The American Recovery and Reinvestment Act made $19 billion available for health information technology through the Health Information Technology for Economic and Clinical Health Act....
Consignment Closets Stay Open
In an instruction to its contractors Feb. 3, CMS rescinded a new consignment closet rule for further review. The agency said it was considering rulemaking to address the issue in the future....
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....
Get that Documentation, MACs Say
DME MACs say HME claims documentation responsibility ultimately rests with providers...
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....
CMS Switches Gears on Billing Status; Providers in Jeopardy
Changing policies regarding accreditation and lawful Medicare billing are threatening the very existence of some HME companies...
Despite Delay, PECOS Remains 'Mission Critical'
Even though CMS has delayed the PECOS physician registration requirement, Andrea Stark is counseling HME companies not to slow down on educating referral sources about the new rule....
CMS Reveals Fee Schedule Updates
CMS will implement the 2010 national monthly payment rates for stationary oxygen equipment effective for claims with dates of service...
No New NPWT Codes
After the results of a study found no significant differences between negative pressure wound therapy devices — and, therefore, no need for multiple codes — CMS made it official with the release of...
Providers Struggle with PECOS: 'We Have Zero Control'
Jan. 4, 2010, is a very scary date. That's when Medicare will stop paying HME claims unless the referring physician is registered in PECOS....
E0277 Powered Pressure-Reducing Air Mattress
Denials for this claim ran 22.7 percent in the second quarter this year....
The 'Business' of Fighting Fraud
"Who's watching the DMEPOS industry?" was one of the big questions at a Medtrade session called "Inside the Beltway."...
New Survey Collects CPAP Reimbursement Issues
AAHomecare has launched a new survey to collect information on patient compliance with the revised continuous positive airway pressure policy....
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....
Consignment Closet Could Be Closed Door for Providers
HME providers could easily run afoul of new CMS provisions if they don't closely analyze their consignment closet arrangements...
Q&A: Update on Consignment Closet Transmittal from CMS
With a Sept. 8 compliance date coming up fast for CMS' recently revised consignment closet rules, the following Q&A is an update on the issue...
RemitData's Goodwin: Fix What You're Doing Wrong
RemitData founder Bently Goodwin says HME companies that haven't streamlined won't survive the industry's tightening margin squeeze....
Strike Force Strikes Houston
Thirty-two people, including doctors, HME owners and others, have been indicted for defrauding Medicare of $16 million....
Keep Your HME in Tune
Don't mistake your company's responses to previous reimbursement cuts and regulatory changes for "nimble."...
Medical Directors Stick with Repair Policy
AAHomecare reported that the four DME MAC medical directors have declined to withdraw CMS' new repair policy, which took effect April 1....
Jurisdiction C Offers Modifier Finder Tool for Medicare Claims Billing
Are you a Jurisdiction C provider who routinely users modifiers in billing Medicare claims?...
