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Medicare Overpaid Hospitals $10M for Cochlear Devices

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In Audit
Aug 16th, 2018
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Improper payments stem from noncompliance. Hospitals do not always comply with Medicare requirements for reporting cochlear devices replaced without cost, according to a report issued by the Office of Inspector General (OIG). The U.S. Department of Health and Human Services branch office, charged with protecting program integrity, bases its conclusion on prior compliance reviews in which it identif...
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Medicare to Cover Glucose Monitoring on Smartphones

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In Billing
Jun 21st, 2018
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The Centers for Medicare & Medicaid Services (CMS) is modifying its Medicare coverage policy for continuous glucose monitors (CGMs) to support their use in conjunction with smartphones, including the data sharing function CGMs provide. Medicare coverage of therapeutic CGMs began in January 2017, but the policy limited their use in conjunction with smartphones. CMS is removing this limitation in...
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KH cap removed

DMEPOS Fee Schedule Updates Effective June 1

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In Billing
Jun 11th, 2018
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Suppliers should be aware of a recent increase to the fee schedule amounts for durable medical equipment (DME) furnished between June 1, 2018, through Dec. 31, 2018, in rural areas and non-contiguous areas (Alaska, Hawaii, and United States territories) not subject to a Competitive Bidding Program (CBP). Rural and Blended Fees This change requires new 2018 rural and ...
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Skip Prior Authorization for These 4 HCPCS Codes

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In Billing
Apr 9th, 2018
No Comments
Effective April 30, four HCPCS Level II codes for certain durable medical equipment (DME) will no longer require prior authorization. If your medical office or facility sells or rents DME, it’s time to update your list. Master List Agenda The Centers for Medicare & Medicaid Services (CMS) published a final rule in the March 30 Federal Register to ...
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DME oxygen coding

DME April Changes Released by CMS

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In CMS
Mar 27th, 2018
No Comments
If you’re submitting Durable Medical Equipment (DME) medical codes for billing , you’ll want to know April changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items and services in the schedule. Diabetic DME Codes The Centers for Medicare & Medicaid Services (CMS) are releasing the new file just in time for the new ...
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