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DME MACs update wheelchair home assessment requirement

On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article.  Effective July 1, 2024, the following statement was REMOVED:  “When...

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DME MACs update wheelchair home assessment requirement

On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article.  Effective July 1, 2024, the following statement was REMOVED:  “When...

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CMS updates Master List and adds new HCPCS to required prior authorization

On May 13, 2024, CMS published updates to the Master List of items that require a face-to-face encounter and written order prior to delivery (WOPD). In addition, CMS updated the Required Prior Authorization List, to include nine additional codes that...

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Medicare Provider Enrollment Updates: What you need to know NOW!

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...

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Reminder: Annual Medicare Participation Announcement

Every year from mid-November through December 31, providers can decide if they want to participate in Medicare for the upcoming year. In early to mid-November, your MAC will send a post card reminding you about the annual participation open enrollment...

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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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Changes to EFT authorization agreement form (CMS-588) submissions

Effective August 21, 2023, Electronic Funds Transfer (EFT) Authorization Agreement Form (CMS-588)  must be sent to the applicable National Provider Enrollment (NPE) contractor for the supplier’s physical location. Please refer to the below...

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RAC adds two new topics to CMS approved audits issues list

Performant, the national home health, hospice, and DMEPOS recovery audit contractor (RAC), added two new items to their CMS approved audit issues list. Both are identified as complex reviews, meaning providers that bill these services could be subject...

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DMEPOS Competitive Bidding Program on temporary hold

On Thursday, May 25, 2023, CMS announced that the DMEPOS Competitive Bidding Program will begin a temporary gap period, starting January 1, 2024. In the weekly Medicare Learning Network (MLN) MLNConnects newsletter, CMS provided details on the current...

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Power Mobility Device (PMD) Accessory Voluntary Prior Authorization

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...

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