Mobility Management

CMS Announces Changes to PMD Demo Project

Postponed project for seven states now to start June 1 or later.

• By Laurie Watanabe
• Feb 03, 2012

Another Opinion

Finding Good in the Bad

• By Brian Ellacott
• Feb 01, 2012

DME MACs Issue "Dear Physician" Letter on Continued Use

Letter from the medical directors reminds prescribing doctors of documentation duties.

• By Laurie Watanabe
• Feb 01, 2012

NGS Creates Tips for Same/Similar Equipment Claims

Jurisdiction B DME MAC says "same/similar" explanation is among the most common reasons for denial.

• By Laurie Watanabe
• Feb 01, 2012

Suppliers Urged to Prepare for ICD-10 Transition

New codes will apply to all HIPAA-covered entities.

• By Laurie Watanabe
• Feb 01, 2012

Pennsylvania Teleconference to Educate Consumers on NCB Dangers

Town hall event to be co-hosted by PAMS and People for Quality Care.

• By Laurie Watanabe
• Feb 01, 2012

NHIC Announces Results of Q3 K0823 Prepayment Review

DME MAC reports it denied 55 percent of power chair claims involved.

• By Laurie Watanabe
• Jan 18, 2012

PECOS Warnings Are Back on DME Claims

CMS warns that future claims from prescribers not in PECOS will not be paid.

• By Laurie Watanabe
• Jan 18, 2012

Policy

Medicare to Pay for Obesity Screening & Counseling

• Jan 01, 2012

Funding 2012

New Codes, A New NCB Round & Hello, Demo!

Analysis and expertise on 2012 funding issues by Claudia Amortegui, president, The Orion Group.

• By Laurie Watanabe
• Jan 01, 2012

PMD Demonstration Project Under Fire from Providers, Consumers

Medicare prepayment reviews slated to begin Jan. 1 in seven states with high PMD usage.

• By Laurie Watanabe
• Dec 14, 2011

CMS Revises Repair & Replacement Policy for Competitively Bid Items

New Fact Sheet details rules for billing for parts and repairs to DME under competitive bidding.

• By Laurie Watanabe
• Dec 14, 2011

NGS Announces Results of Support Surfaces Prepayment Probe

Jurisdiction B DME MAC reports high error rate in claims it examined.

• By Laurie Watanabe
• Nov 30, 2011

CMS to Scrutinize PMD Claims in 2012 Demonstration Project

Medicare claims in seven states will be subjected to prepayment review and prior authorization.

• By Laurie Watanabe
• Nov 30, 2011

Urological Supplies Prepayment Review to Continue in Jurisdiction B

National Government Services review concerns Medicare claims for code A4353.

• By Laurie Watanabe
• Nov 15, 2011