On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy...
Read Full Post
Home Blog
Recent Blog Posts
July 23, 2024
On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B...
June 18, 2024
On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article. Effective July 1, 2024, the following statement was REMOVED: “When...
June 18, 2024
On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article. Effective July 1, 2024, the following statement was REMOVED: “When...
June 3, 2024
On Friday, May 31, 2024, the U.S. Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) published an update to the frequently asked questions (FAQs) webpage concerning the Change Healthcare cybersecurity...
May 15, 2024
On May 13, 2024, CMS published updates to the Master List of items that require a face-to-face encounter and written order prior to delivery (WOPD). In addition, CMS updated the Required Prior Authorization List, to include nine additional codes that...
March 19, 2024
The Centers for Medicare & Medicaid Services (CMS) continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations. Specifically, updates have been made to Medicare’s provider and supplier...
March 13, 2024
By Wayne van Halem, President, The van Halem Group What can you expect to see from an audit and compliance perspective in 2024? I think it’s going to be an interesting year. There are a number of things happening that could impact our clients....
November 22, 2023
Every year from mid-November through December 31, providers can decide if they want to participate in Medicare for the upcoming year. In early to mid-November, your MAC will send a post card reminding you about the annual participation open enrollment...
October 19, 2023
CMS announced that, effective January 1, 2024, suppliers will be able to bill CGM supplies in 90 day increments. According to change request CR13397, the purpose of this Change Request (CR) is to instruct Medicare Administrative Contractors...
Audit Alert: SMRC adds lumbar-sacral orthoses to current projects list
Noridian Healthcare Solutions, LLC, (Noridian) as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare and Medicaid Services (CMS), is conducting post-payment review of claims for select Medicare Durable Medical Equipment (DME)...