Blog

The Office of Management and Budget (OMB) recently updated the Advance Beneficiary Notice of Noncoverage form … you know it as the ABN. While there are no dramatic modifications, suppliers should use the new version for all ABNs executed on or after July 1, 2023. CMS...

A while back, DME MAC Noridian Healthcare Solutions, Inc. incorrectly rejected certain continuous glucose monitor (CGM) claims billed to Medicare Jurisdictions A and D between January 4 and January 19, 2023. The processing error rejected items billed with the old...

On April 28, 2023, the DME MACs published claim instructions related to CR modifier and COVID-19 narrative usage after the public health emergency (PHE) ends on May 11, 2023. The bulletin counters CMS’s previous guidance to discontinue the pandemic-era claim elements...

Continuous Medicaid enrollment established under the Families First Coronavirus Response Act (FFCRA) ended on March 31, 2023. I am sure I am not the first to tell you about the millions of Medicaid beneficiaries that will lose coverage in the coming months....

Did you know that a recoupment for a single patient can trigger the revocation of a DME supplier’s Medicare number? I am seeing more suppliers suffering terrible consequences from simple oversights, and I don’t want it to happen to you. Here is...

Here is a question I get all the time: I have a new patient eligible for a five-year CPAP replacement, but we are having a hard time getting a copy of the patient’s original sleep study. Medicare paid a different supplier for the initial equipment. Do we have to send...