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Audit Alert: NPWT

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...

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Improvements to the Adjudication Process of Serial Claims

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...

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Attention Suppliers with CERT Reviews related to DME MAC Jurisdiction D (Noridian)!

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...

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NCART and Complex Rehab Capitol Hill Day This Week- April 26 & 27, 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....

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5 Affordable Summer Vacations

One of the best things summer brings, aside from the beautiful weather, is time to enjoy with your family. Whether that’s planning a fun weekend adventure, or carving out a week to go exploring, your kids are sure to remember these getaways...

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personal finance, savings, vacation

Audit Alerts

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...

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Save money, Summer saving

Beneficiary Upgrade and Advanced Beneficiary Notice (ABN)

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...

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Do’s and Don’ts: Amending a signed and dated Legal Document

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...

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DMEPOS Order Requirements for Changing Suppliers

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...

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How to Start a Garden without Splurging

Sunshine, flowering blooms, and the smell of something new, planting season is the perfect time to enjoy the outdoors and begin planting your summer garden. If you’re like most hobbyists, you find your plants each year at area greenhouses and...

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garden, Save money, splurging, spring