(K)notes August 2023

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...

(K)notes June 2023

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...

Master Class: CGM Reimbursement 2023

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...

(K)notes April 2023

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...

Master Class: Ventilator Reimbursement 2023

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...