Tips for increasing your practice's reimbursements as the exchanges roll out
Health Insurance
The fee-for-service model is being replaced with collaborative care. Find out where you fit into this new system
Lead the way through the changing regulatory landscape with new technology developments
As more baby boomers reach the geriatric age, there is a growing shift toward home care options in lieu of more traditional care facilities and nursing homes
These audits may seem inevitable, but denials do not have to be part of the equation
Look for these modifications to take effect in 2015 and 2016
Policy discussions cement the move toward this trend
Providers be aware that insurers must follow certain statutes and regulations under ERISA
Stay aware of medical coverage changes and what written proof you need upon request.
Potential reform is on the horizon for the DMEPOS auditing process
Signed, sealed, denied: buyer beware
Enroll to avoid being denied by CMS
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid.
National Government Services, the Jurisdiction B DME MAC, recently addressed issues with claims filing resulting in a PR16 denial code with an M124 remark code.
There isn't too much room to dispute Medicare when you receive this denial code.
CO16Claim/service lacks information which is needed for adjudication The CO16 denial code alerts you that there is information that is missing in order
CO 50, the sixth most frequent reason for Medicare claim denials, is defined as: non-covered services because this is not deemed a medical necessity by
The second highest reason code for Medicare claim denials reported for HME providers is OA109: claim not covered by this payer/contractor. You must send