by MiraVista | Aug 25, 2023 | Content Library
In the August 2023 edition of (K)notes, we helped attendees: Faulty Medicaid MCO authorization denials identified in OIG report. Recent Medicare contractor data breach has billing implications for DME suppliers. Advance document screening for RADs added to CGS... by MiraVista | Jun 22, 2023 | Content Library
In the June 2023 edition of (K)notes, we helped attendees: Interpret Humana’s exclusive DME relationship with AdaptHealth and Rotech for select Medicare Advantage Plans. Avoid denials related to the changing KX modifier rules for certain products. Use PECOS 2.0 to... by MiraVista | May 26, 2023 | Content Library
In this event, Andrea helped CGM suppliers: Understand and implement Medicare’s new CGM coverage criteria. Properly document CGM resupply claims to avoid substantial recoupments. Resist Medicare Advantage Plans that require NDC codes (instead of HCPCS). Exit the... by MiraVista | May 4, 2023 | Content Library
In the special CMS's End of the PHE FAQs event, Andrea and Noel helped suppliers: Process the newest information, Reason through the remaining unknowns, and Develop an effective action plan to protect themselves. Note: This event requires purchase. Click [Here] to... by MiraVista | Apr 20, 2023 | Content Library
In the April 2023 edition of (K)notes, we covered: CMS Restrictions on Medicare Advantage Plans’ Prior Authorization for Active Services. Eliminating the CR Modifier When the Public Health Emergency Ends. The New ABN Form. Strategies for Simultaneous Billing of the KX... by MiraVista | Mar 23, 2023 | Content Library
In this event, Andrea helped ventilator suppliers: Get ready to defend against heightened audit volume and scrutiny. Identify appropriate use cases for RADs versus ventilators. Properly document monthly ventilator use to avoid substantial recoupments. Improve...