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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.

Medicare Still Requires Direct Home Assessments

You may have missed it … Back in January, the DME MACs published a joint reminder that Medicare requires in-person home assessments before billing for manual wheelchairs. I suspect this will catch a lot of suppliers off guard. The Policy Article...

MAPs! Why can’t you be more like your sister?!

It does seem like CMS is on a crusade to force Medicare Advantage Plans (MAPs) to be more like Medicare Fee-For-Service (FFS), right? And in the latest move to provide consistency and transparency to all Medicare, Medicaid, and marketplace beneficiaries, CMS issued...

Do I need to re-deliver when customers switch insurance?

I am sure you have been in this situation. Customer has insurance. Customer rents equipment. Customer changes insurance to Medicare. You ask,  “Do I need to pick up and redeliver the equipment to get proof of delivery?” The answer is no, but Medicare’s Standard...

Medicare Enrollment Spills into 2024

If Medicare’s open enrollment period ends each year on December 7, you may be wondering why beneficiaries continue to switch plans well into the new year. Many suppliers are surprised to discover that Medicare Advantage Plans (MAPs) host their own open enrollment...

Medicare Eases Resupply Process

Medicare doesn’t allow automatic shipments of resupplies … even if the patient authorizes them. There are no changes there, but as of January 1, 2024, Medicare made the resupply process a little less onerous for DME suppliers. Medicare no longer...

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