MACs join forces to reduce denials
07/30/2013HME News StaffWASHINGTON – The Part A and Part B Medicare Administrative Contractors have formed a task force to educate on national issues of concern regarding improper payment errors, they...
View ArticleNo stop to prepay review for certain power wheelchairs
08/05/2013HME News StaffINDIANAPOLIS – National Government Services (NGS), the DME MAC for Jurisdiction B, has reported a claims error rate for power wheelchair bases with options and accessories of...
View ArticleWhat’s behind PMD demo denials?
11/05/2013HME News StaffINDIANAPOLIS – Prior authorization requests submitted as part of the PMD demo are being denied because of conflicting information in face-to-face examinations and other medical...
View ArticleObscure court ruling could set powerful precedent
12/13/2013Elizabeth DepreyWASHINGTON – A 5th Circuit Court ruling over runny eggs could be just the ammunition HME providers need in cases involving ambiguous CMS guidelines.“People think this case is...
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Audits: ‘We are in crisis,’ stakeholders say
02/14/2014Theresa FlahertyWASHINGTON – HME stakeholders made their case against an audit program run amok at a forum last week.“We need to have a resolution on how to help my providers today because we...
View ArticleQIC overturns denials
04/18/2014HME News StaffWATERLOO, Iowa – Seventy-percent of the denials that U.S. Rehab’s Peggy Walker sent to C2C Solutions for review following a forum hosted by the Office of Medicare Hearings and...
View ArticleIn brief: CMS awards new bid contracts, QIC overturns denials
04/18/2014HME News StaffHONOLULU – CMS has awarded new competitive bidding contracts to two local providers in Hawaii: Aloha Medical and American Home Care Systems. To date, just 13 of the 97 providers...
View ArticleNewsPoll: Providers receive some far-out denials
01/16/2015Tracy OrzelYARMOUTH, Maine – Imagine having a claim denied because Medicare doesn’t like the handwriting on the prescription.That was the case for one provider who responded to a recent HME...
View ArticleMedicare sees a number, not someone’s mother
01/30/2015I need to call a patient's family and tell them that I either have to pick up the hospital bed they are renting from me, or they have to sign a document that states they are willing to pay...
View ArticleSwear words, celebrities and everyday people
Liz Beaulieu03/19/2015It’s not uncommon for me to be at a loss for blog ideas.That’s certainly the case this week, especially after Managing Editor Theresa used WTF in her blog (yes, I noticed) and...
View ArticleDemo allows providers to make their case by phone
03/08/2016HME News StaffJACKSONVILLE, Fla. – C2C Innovative Solutions, the Qualified Independent Contractor or QIC for the second level of Medicare appeals, is conducting a demonstration project that...
View ArticleMACs ease denial process for oxygen claims
05/11/2018HME News StaffWASHINGTON – The DME MACs are adding modifiers that will allow HME providers to provide additional information related to the coverage and/or liability when the policy criteria...
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