January 28, 2019 Performant Recovery posted one new automated issue to their approved issues log this month.
Pneumatic Compression Devices
On January 23, 2019, Performant Recovery, the National DMEPOS RAC, added Pneumatic Compression Devices to their approved... January 28, 2019 What is a HIPAA Risk Assessment?
In 2003, the original HIPAA Privacy Rule was issued, and the requirement to have a HIPAA Risk Assessment was put in place. However, many entities did not comply. Since the Office of Civil rights is issuing fines and... January 22, 2019 In November 2017, CMS issued Change Request CR10324, which simplified the Proof of Delivery (POD) requirements. The change request touched on three specific areas: initial delivery, newly eligible beneficiaries, and compliance with the POD Requirements.... January 21, 2019 At the beginning of the New Year most of us make resolutions. Whether it is for health, exercise, fiscal or general life improvements, resolutions can be good for us. Resolutions for documentation can be beneficial too. Whether you are adhering to a... January 14, 2019 By Donna Youngblood, RN, BSN, CPC
The CERT program released a report for the 2018 Medicare FFS
National Improper Payment Rate for DMEPOS. The data was pulled from claims
submitted during the 12-month period from July 1, 2016 through June 30, 2017
and... January 7, 2019 On December 31, CMS implemented the TPE 10-Claim Preview Pilot, which is intended to further reduce burden for compliant DME suppliers, according to AA Homecare.
The new 10-claim pilot allows for MACs to select 10 claims for TPE Round 1 for review. If... January 7, 2019 By Donna Youngblood, RN, BSN, CPC
Same or similar denials occur when claims information is
checked against the patient’s CMN history. This will indicate when equipment is
“same or similar” to that piece of equipment being billed on the claim.... January 4, 2019 On November 28, 2018, CMS rescinded and replaced Transmittal 1919 with 2207 to clarify language that more accurately instructs MACs on subsequent rounds of the Targeted Probe and Education (TPE) initiative.
Specifically, CMS advised MACs that the... January 3, 2019 Performant Recovery posted one new automated issue to their approved issues log this month.
Spinal Orthosis (TLSO/LSO) within the Reasonable Useful Lifetime
On January 1, 2019, Performant Recovery, the National DMEPOS RAC, added Spinal Orthosis... January 2, 2019 By Donna
Youngblood, RN, BSN, CPC
If you are providing capped rental
DME items or dispensing consumable/non-consumable supplies, there must be
information in each patient’s medical record to support that the item continues
to remain reasonable and...
RAC Audit Alert - Pneumatic Compression Devices
Developing Best Practices for the New Year - Performing a HIPAA Risk Assessment
Proof of Delivery Requirements
Developing Best Practices for the New Year - Good Documentation Resolutions for 2019
Developing Best Practices for the New Year – A Strong Intake Process
CMS continues to enhance TPE Program with a 10-claim review pilot
Developing Best Practices for the New Year – Avoiding Same or Similar Denials
CMS quietly updates TPE terms
RAC AUDIT ALERT: Spinal Orthosis (TLSO/LSO) within the Reasonable Useful Lifetime
Developing Best Practices for the New Year - Continued Medical Need of DMEPOS
