by MiraVista | May 23, 2023 | Current Events
The Office of Management and Budget (OMB) recently updated the Advance Beneficiary Notice of Noncoverage form … you know it as the ABN. While there are no dramatic modifications, suppliers should use the new version for all ABNs executed on or after July 1, 2023. CMS... by Derrick Stark | May 16, 2023 | Current Events
A while back, DME MAC Noridian Healthcare Solutions, Inc. incorrectly rejected certain continuous glucose monitor (CGM) claims billed to Medicare Jurisdictions A and D between January 4 and January 19, 2023. The processing error rejected items billed with the old... by MiraVista | May 9, 2023 | Current Events
On April 28, 2023, the DME MACs published claim instructions related to CR modifier and COVID-19 narrative usage after the public health emergency (PHE) ends on May 11, 2023. The bulletin counters CMS’s previous guidance to discontinue the pandemic-era claim elements... by MiraVista | May 2, 2023 | Current Events
Continuous Medicaid enrollment established under the Families First Coronavirus Response Act (FFCRA) ended on March 31, 2023. I am sure I am not the first to tell you about the millions of Medicaid beneficiaries that will lose coverage in the coming months.... by MiraVista | Apr 12, 2023 | Current Events
Did you know that a recoupment for a single patient can trigger the revocation of a DME supplier’s Medicare number? I am seeing more suppliers suffering terrible consequences from simple oversights, and I don’t want it to happen to you. Here is a hypothetical example... by MiraVista | Feb 16, 2023 | Current Events
Here is a question I get all the time: I have a new patient eligible for a five-year CPAP replacement, but we are having a hard time getting a copy of the patient’s original sleep study. Medicare paid a different supplier for the initial equipment. Do we have to send...