In Billing
May 31st, 2019
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being ...
In Audit
May 14th, 2019
If you want to smooth reimbursement claims for durable medical equipment, CGS offers 28 documentation checklists that identify what must be included. Recently updated, these checklists include the following items and services: Enteral nutrition Glucose monitors and supplies Hospital beds and accessories Immunosuppressive drugs Large volume nebulizers and inhalation drugs Lower limb prostheses Manua...
In Audit
Apr 12th, 2019
Recovery Auditors have been busy. This year alone there are 23 topics under review and three more were just proposed. If you are coding/billing for any of the topics under review, this may be all the reason you need to conduct an internal review. Who Are They? Recovery Auditors, or Recover Audit Contractors (RACs), review ...
In Billing
Mar 6th, 2019
Insufficient documentation accounted for more than 77 percent of the 85.2 percent improper payment rate for lenses during last year’s reporting period, according to the 2018 Medicare Fee-for-Service (FFS) Supplemental Improper Payment Data. You can help reduce this staggering error rate by being aware of the national and local coverage policies physicians and non-physician practitioners ...
In CMS
Jan 8th, 2019
If you are a durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) company who is in Medicare’s Competitive Bidding program, your contract expired on Dec. 31, 2018. The Centers for Medicare & Medicaid Services (CMS) says there is a temporary 2-year gap in the entire program, expected to end on Dec. 31, 2020. This means, ...