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RAC Issues - Proposed and Approved

CMS has posted the list of review topics that have been proposed, but not yet approved, for RACs to review for November. These topics are listed, on a monthly basis, on the CMS RAC Provider Resources page. For the month of November there are two topics...

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Are inhalation drugs the next OIG Six Year Lookback Audit?

Since 2010, the CMS’s Comprehensive Error Rate Testing (CERT) program has identified nebulizers and related drugs (i.e., inhalation drugs) among the top 20 supplies with the highest improper Medicare payments. Based on prior reviews, the Office of...

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Are you ready to start billing with the MBI?

By Kim Turner, RN The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was required CMS to remove social security numbers (SSNs) from all Medicare cards by April 2019. CMS replaced the SSN-based HICN with a new, randomly generated MBI....

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New billing instructions from the Medicare DME MACs for HCPCS E1028

By Kim Turner, RN HCPCS E1028 is a wheelchair options and accessories code defined as a "wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory". One example...

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