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Medicare Documentation Job Aid for Doctors of Chiropractic

By Abrielle Uritz, RN, BSN, CPC, CEMC As a Doctor of Chiropractic, responding to a medical records request can be challenging; however, the A and B MACs have created a tool that will help to adequately respond to these requests. This includes guidance...

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REPAIRS TO BENEFICIARY OWNED PMD AND THE MEDICARE DOCUMENTS REQUIRED

By Kim Turner, RN In 2018, Medicare paid approximately $46.7 million for PMD repairs, including replacement parts. DME suppliers must maintain documentation from the physician or treating practitioner indicating that the power mobility device (PMD)...

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Minor Claim Processing Error…… What is the next step?

By Kim Turner, RN No matter how careful, Medicare claim mistakes will happen. When they do, your claim may not be able to be processed by the DME MAC. Listed below are some common errors which prevent your claim from being processed. If you find a...

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Decoding the Standard Written Order (SWO)

On January, 1 2020, CMS made it effective that only one type of order is needed for DMEPOS claims, in an effort to help reduce supplier and provider burden. As such, the preliminary/dispensing order, Detailed Written Order (DWO), Five Element Order (5EO)/Written...

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SMRC warns 'No Response Providers' of E & M audit risk

In the SMRC's (Supplemental Medical Review Contractor) most recent current project detail for Diabetic Test Strips, they include verbiage that not only impacts the DME supplier, but also the ordering practitioner. Specifically the SMRC's current...

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CPT updates for 2020

By: Abrielle Uritz, RN, BSN, CPC, CEMC It’s the end of the year, which means physicians and coders are getting ready for the updates that will be made to the current CPT code set. E/M services will now have a clearer definition and will be aligned...

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New DMEPOS Order Requirements as of January 1, 2020

Only one type of order is needed for DMEPOS claims with dates of service January 1, 2020 or after. To help reduce supplier and provider burden, the preliminary/dispensing order, Detailed Written Order (DWO), Five Element Order (5EO)/Written Order Prior...

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