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March 19, 2024 The Centers for Medicare & Medicaid Services (CMS) continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations. Specifically, updates have been made to Medicare’s provider and supplier... October 6, 2023 Compliance DME FAQs General Blog Posts Orthotics Prosthetics Provider Enrollment 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... October 3, 2023 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)... March 15, 2023 CMS added the following PMD accessory HCPCS codes for voluntary authorization. The goal of this process is to increase operational simplicity by allowing suppliers to request prior authorization for a PMD accessory.
The DME MACs will begin accepting... March 6, 2023 Blood Glucose Monitors and Supplies Compliance DME Documentation Medicare released the final draft of the new Glucose Monitor LCD and Policy Article with an effective date of 4/16/2023. The change was completed after a response to comments for the LCD. This new policy revamps the current CGM coverage criteria with... December 23, 2022 Effective January 1, 2023, claims submitted to Medicare for continuous glucose monitor (CGM) receivers, supplies and accessories using codes K0553 and K0554 will be rejected. These codes are discontinued on 12/31/2022. Suppliers that provide CGM devices... October 19, 2022 On Thursday, September 29, 2022, CMS formally announced the transition from the National Supplier Clearinghouse (NSC) to two new National Provider Enrollment Contractors (NPEC), Novitas Solutions (NPEast) and Palmetto GBA (NPWest). The contract... February 4, 2022 On February 1, 2022, the Department of Justice (DOJ) announced on their website that they had obtained more than $5.6 billion in settlements and judgments from civil cases involving fraud and false claims against the government in the fiscal year ending... January 4, 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... October 19, 2020 By Kelli Ogunlesi, CHP, HIPAAwise Success Manager
The last week of September proved to be a very busy one for the Office of Civil Rights (OCR), the federal agency responsible for enforcing HIPAA privacy and security rules. From September 21 through...