February 25, 2020 The van Halem Group will be partnering with Össur Americas, Inc., a global manufacturer of orthotic and prosthetic products. As part of this agreement, The van Halem Group will provide clinical prescreen reviews and appeal services for custom orthotics... February 10, 2020 By Kim Turner
In a change release (CR) dated 12/20/2019 regarding MLN Matters MM11554, CMS published the following information on where to bill DMEPOS and PEN services.
Effective date March 23, 2020, suppliers enrolled with the
National Supplier... February 10, 2020 On February 11, 2020 CMS will publish updates to the Federal Register, inlcuding the addition of six new codes to the prior authorization list. The Prior Authorization List includes DMEPOS items that require prior authorization as a condition of payment.... February 6, 2020 CMS has approved two new topics for the DMEPOS RAC, Performant, to begin reviewing, effective March 1, 2020.
Hospital Beds: Medical Necessity and Documentation Requirements
Description: Hospital Beds must meet basic coverage criteria whether at... February 5, 2020 By Carrie Nienberg, RN Clinical Director
CMNs for Oxygen, Pneumatic Compression Devices, Osteogenesis Stimulators, Transcutaneous Electrical Nerve Stimulator (TENS), Seat Lift Mechanisms, External Infusion Pumps, Enteral and Parenteral nutrition,... February 3, 2020 By Sandra Gauron, Appeals Coordinator
Pursuant to the Office of the Inspector General (OIG) report (OEI 06-16-00380), in which the OIG identified potential inappropriate payments to DME suppliers during non-covered SNF stays, CMS has tasked the SMRC...
The van Halem Group Announces New Partnership with Össur Americas, Inc.
Changes to billing DMEPOS
CMS adds LLP codes to the Prior Authorization List
Hospital Beds and Manual Wheelchairs added to RAC Approved Issues
CMNs and ABNs are nearing expiration...what do you do?
SMRC To Perform Data Analysis and Reviews of Oxygen and Oxygen Equipment During Noncovered SNF Stays
