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CMS makes changes to CGM supply billing

CMS announced that, effective January 1, 2024, suppliers will be able to bill CGM supplies in 90 day increments.  According to change request CR13397, the purpose of this Change Request (CR) is to instruct Medicare  Administrative Contractors...

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Audit Alert: SMRC adds lumbar-sacral orthoses to current projects list

Noridian Healthcare Solutions, LLC, (Noridian) as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare and Medicaid Services (CMS), is conducting post-payment review of claims for select Medicare Durable Medical Equipment (DME)...

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Friday FAQ

Question: I am just starting a new home medical equipment business. How can The van Halem Group help? Answer: At vHG, we offer a variety of services for new DMEPOS suppliers, including assistance with getting your business accredited and enrolled...

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DMEPOS: New Provider Enrollment Appeals & Rebuttals Contractor Starts October 9

On Thursday, October 5, 2023, CMS announced that the last day the National Supplier Clearinghouse (NSC) will accept provider enrollment appeals and rebuttals is Friday, October 6, 2023. Beginning Monday, October 9, 2023, all provider...

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Navigating the Evolving Compliance Landscape: Guidance and Implications for Your Organization

By Kelly Grahovac, General Manager, The van Halem Group In recent months, the Office of Inspector General (OIG) has been working to update their compliance guidance. This was first apparent in the revisions made to corporate integrity agreements (CIAs)...

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