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We aren’t the first to report headlines. We write articles that help DME billing teams use reimbursement evolution to their advantage.

When Patients Won’t Sign the ABN …

Advance Beneficiary Notices (ABNs) intimidate a lot of suppliers, even the straight forward ones. So how reliable is an ABN the patient won’t sign and return? The good news is suppliers can still bill with the GA modifier and collect non-covered amounts from customers...

New HCPCS for Two-Function Vents

For those of you offering multi-function ventilators, CMS assigned a new HCPCS for the two-function VOCSN VC and VC Pro units. Suppliers should use E0468 for dates of service on or after April 1, 2024. The reimbursement rates range between...

When they don’t follow Medicare …

“We follow Medicare.” It’s a common answer DME suppliers get when trying to understand why a Medicare Advantage Plan (MAP) denied a claim. It’s a common answer, but not always an accurate one. CMS, however, has been active in pinning MAPs down to follow Medicare...

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