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Understanding your HIPAAwise Resources

As the saying goes, “Those who do not learn from history are doomed to repeat it.” Here at HIPAAwise, we’re firm believers of learning from history and taking that knowledge and using it to your advantage. As you work to become HIPAA compliant...

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ABN instructions – Special Guidance for Non-Participating Suppliers and Providers

CMS recently updated their ABN Form and accompanying instructions. For non-participating suppliers that issue an ABN for unassigned items/services you must do the following two things in order for the ABN to be considered a valid notice. First, in...

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UPDATE: Targeted Probe and Educate (TPE) Pilot

UPDATED: October 6, 2017 In October 2017, the TPE Pilot is now open to all four DME MAC Jurisdictions. Suppliers will be chosen based on the following criteria: Items that pose the greatest financial risk to the Medicare Trust Fund - HCPCS with...

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Audit Alert: AFO & KAFO Orthoses

On July 5, 2017, Performant Recovery, the National DMEPOS RAC, added AFO and KAFO orthoses to their approved issues list. According to their website, Performant Recovery will perform complex reviews of these claims to determine if basic coverage criteria...

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