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Billing supplies as an upgrade

By Carrie Nienberg, Clinical Director at The van Halem Group Did you know you could use the upgrade modifiers when billing for supplies provided to a beneficiary that exceeds the allowed amount specified in the Local Coverage Determinations (LCD)? For...

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Audit Alert! SMRC adds orthopedic footwear to their audit list

Noridian Healthcare Solutions, LLC, as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare & Medicaid Services (CMS), is conducting post-payment review of Orthopedic Footwear claims from January 1, 2019 through December 31,...

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Accreditation up to date? Find out on your remittance notices beginning January 3, 2022!

To supply Medicare DMEPOS to patients and to obtain and retain a supplier billing number, suppliers must adhere to the DMEPOS supplier and quality standards and accreditation requirements. In compliance with supplier standards, all changes to...

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