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CBIC advises bidders to maintain all enrollment requirements

On April 21, 2020 the CBIC published an article on their website, reminding all bidders to maintain all applicable enrollment requirements (i.e., licensure, accreditation, and supplier enrollment number) throughout the bid evaluation and contracting...

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COVID-19 Fraud Alert

By Wayne van Halem, AHFI, CFE, President of The van Halem Group As an Accredited Healthcare Fraud Investigator and Certified Fraud Examiner, I must attend courses to obtain CEUs to maintain my accreditation and certification. I attended one last week...

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CMS removes vents from Competitive Bidding 2021

Just announced, CMS has removed the non-invasive ventilators (NIV) product category from Round 2021 of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program in response to the novel COVID-19 pandemic....

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CMS allows multi-function vent for upgrade

By Carrie Nienberg, RN, Director of Clinical Operations Effective immediately, you as a supplier may provide and bill E0467, multi-function ventilator, as an upgrade when the beneficiary only qualifies for the ventilator. Until now, the beneficiary...

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BEWARE: OCR Investigator Scam

Danaya Bryant, Business Analyst & HIPAAwise Consultant In March 2020, the Federal Bureau of Investigation (FBI) published a public service announcement indicating a rise in fraud schemes related to COVID-19.   On April 3, 2020, an alert...

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Required Prior Authorization Suspension During the Public Health Emergency (PHE)

By Donna Youngblood RN, BSN, CPC On April 3, 2020 CMS announced the suspension of Prior Authorization (PA) on certain Power Mobility Devices (PMDs) and Pressure Reducing Support Surfaces (PRSS) for the duration of the COVID-19 pandemic. Implementation...

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REGISTRATION NOW OPEN: COVID-19 & HME: Chapter 2 – An Update on CMS’s Interim Final Rule and Other HME Policy Changes webinar

Late on March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released three important documents relaxing many requirements to facilitate providing care to Medicare beneficiaries in their homes during the current COVID-19 public health...

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Interim Final Rule Updates

By Abrielle Uritz, RN, BSN, CPC, CEMC As you may have seen, the Centers for Medicare and Medicaid Services (CMS) released an Interim Final Rule (IFR) on March 30, 2020 that addresses a variety of the healthcare issues related to the Public Health...

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