The Office of Inspector General (OIG) added two new DMEPOS items to their Work Plan for October 2024. See below for details. Medicare Payments...
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October 16, 2024
The Office of Inspector General (OIG) added two new DMEPOS items to their Work Plan for October 2024. See below for details. Medicare Payments to Suppliers for Oxygen and Oxygen Equipment Medicare covers reasonable and necessary durable medical...
October 4, 2024
On October 3, 2024, a joint DME MAC publication was posted to provide guidance on the correct coding and billing of pneumatic compression devices (PCD). The article aslo explains that both the pneumatic compression device LCD and accompanying...
September 20, 2024
This post was originally featured in HME News. Q. Should I be performing regular audits of my provider enrollment record? A. Short answer, yes! Providers should review, or audit, their Provider Enrollment Record at least annually. In...
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....