Home Blog Archive


It’s Official – Orthotist/Prosthetist Notes and Medical Necessity

In February 2018, vHG informed you that legislation was passed that CMS will now consider orthotist and prosthetist notes as part of the patient’s medical record. The legislation included an amendment to 13 Section 1834(h) of the Social Security Act...

Read Full Post

Replacement Positive Airway Pressure (PAP) Device Supplies: Claim Denials and the OIG Report

The Office of Inspector General (OIG) released a report (June 2018) regarding replacement Positive Airway Pressure (PAP) supplies and denied claims. According to their report, most Medicare claims that DME suppliers submitted for replacement PAP device...

Read Full Post

So You’ve Bought Your First Home: Savings 101

Congratulations! You’ve taken a big step in your financial future by purchasing your first home. As a new homeowner, you may be worried about the chunk of change you just spent, and your bank account may be looking a little slim right now. Luckily,...

Read Full Post


Wedding Waivers - Ways to Cut Costs for the Big Day

Say ‘I Do’ to savings and “no” to debt on your big day. Weddings can grow out of control and expensive in no time when the planning begins. That’s why it's important to learn savvy ways to save before you walk down the...

Read Full Post

save, wedding

Pre-claim Review to Return to Home Health?

CMS recently announced the likely return of pre-claim reviews in Medicare home health. The return presents a new version of claim review that would give Home Health Agencies (HHAs) the option of 100% pre-claim review or 100% post-claim review. HHAs that...

Read Full Post

Power Mobility Device Prior Authorization Extended and Expanded Nationally

The PMD Prior Authorization Demo program was established in 2012 in seven states and was expanded to an additional 12 states in October 2014. The program included the following codes: All power operated vehicles (K0800-K0802 and K0812) All standard...

Read Full Post

OIG Announces Noninvasive Home Ventilators Audits and Onsite Visits

The Office of Inspector General (OIG) has added noninvasive home ventilators to their active work plan items. Recently announced on the 'Active Work Plan Items' list, the audit details are as follows: For items such as noninvasive home ventilators (NHVs)...

Read Full Post