April 28, 2017 Performant Recovery, National RAC for DME, Home Health and Hospice has released another issue to the approved issues log. Negative Pressure Wound Therapy (NPWT) pumps are under complex review, effective April 28, 2017. Claims will be reviewed for potential... April 28, 2017 A major win for DME Suppliers was announced yesterday, as CMS released information regarding improvements to the adjudication process of serial claims. Effective April 7, 2017, CMS has implemented changes to improve the processing and adjudication of... April 27, 2017 On April 26, 2017, Noridian sent the following notice to ListServ subscribers:
Notice – Some Jurisdiction D Demand Letters incorrectly identified Performant Recovery as the claim review contractor
Noridian Jurisdiction D mailed 3,647 initial demand... April 25, 2017 By Kay Koch, OTR/L, ATP
This week the National Coalition for Assistive and Rehab Technology (NCART) and the National Registry of Rehabilitation Technology Suppliers (NRRTS) are partnering to hold the 2017 National CRT Leadership and Advocacy Conference.... April 19, 2017 DME contractors perform pre- and post-payment reviews on a continual basis. Through data analysis, the medical review department determines the codes they will review and then sends Additional Documentation Request (ADR) letters to suppliers that bill... April 17, 2017 By Kim Turner, RN – Clinical Consultant
An upgrade is an item with features that go beyond what is medically necessary. DME upgrades involve situations in which the upgraded item or component has a different HCPCS code than the item that will be... April 13, 2017 By: Nancy Conant, Clinical Consultant
Are you finding yourself challenged explaining how to properly amend the record to a therapist or practitioner, particularly when the document has been previously signed?
DO
The proper way to amend a Licensed... April 6, 2017 Effective April 24, 2017, MACs to accept timely orders and medical documentation (so long as it meets Medicare requirements), regardless of whether the supplier received the documentation directly from the beneficiary’s eligible practitioner or from... April 5, 2017 By: Christina Colegrove, RN,BSN – Clinical Consultant
Here are some things to remember when completing a refill request to avoid denials. Documentation of a refill request must be either a written document received from the beneficiary or a written...
Audit Alert: NPWT
Improvements to the Adjudication Process of Serial Claims
Attention Suppliers with CERT Reviews related to DME MAC Jurisdiction D (Noridian)!
NCART and Complex Rehab Capitol Hill Day This Week- April 26 & 27, 2017
Audit Alerts
Beneficiary Upgrade and Advanced Beneficiary Notice (ABN)
Do’s and Don’ts: Amending a signed and dated Legal Document
DMEPOS Order Requirements for Changing Suppliers
Refill Requests: What to Include and When to Complete
