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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.
Court Rules LCDs Separate, Not Equal
A recent court order invalidated language in the Pneumatic Compression Devices LCD. The decision has implications for all suppliers, not just those providing pneumatic compression devices. The Decision (in summary) A summary of the facts of the...
How many of the 47,000 compromised Medicare numbers belong to your patients?
Be on the lookout for an uptick in Medicare rejections and denials for invalid Medical Beneficiary Identifiers (MBIs). CMS reissued account numbers to 47,000 beneficiaries after a data breach in late May. The Breach On May 27, 2023, an...
Could Licensure Database Improvements Increase Medicare Suspensions?
I recently read CMS intends to separate its DMEPOS State Licensure Database oversight into a standalone agreement, this according to a recent meeting with National Provider Enrollment (NPE) contractors. The move could lead to a better resource for DME suppliers and a...
If you care about revenue stability with Medicare Advantage Plans …
Hey there! I recently had another great conversation - one of many - with Liz Beaulieu at HME News about Medicare Advantage Plans. She recorded it, so you can check it out by listening to the latest episode of the HME News in 10 podcast.As you know, Medicare Advantage...
Telehealth Questions DME Suppliers Still Ask
With the end of the COVID-19 public health emergency fading into history, many suppliers still have questions about the reliability of telehealth visits. The two we get most frequently are: Do DME suppliers need to denote the reliance on telehealth when submitting...
No, Medicare does not pay for new equipment every five years …
Pop quiz. Will Medicare automatically pay for new durable medical equipment when the age of the patient’s existing device exceeds its reasonable useful life (RUL)? The answer is … no. Many suppliers are surprised to learn that, with the exception of oxygen equipment,...
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