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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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Updating your provider enrollment file? Use the current 855-S...or else!

CMS recently updated the 855-S DMEPOS supplier application, effective January 9, 2023. The new form can be found on the CMS Forms List and is currenlty being accepted for new enrollments and changes of information.  The National Provider Enrollment...

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Final Continuous Glucose Monitor (CGM) policy released

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...

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CMS adds 10 codes to F2F/WOPD list

On January 17, 2023, CMS published the annual list of items that require a face-to-face encounter and written order prior to delivery (WOPD). The published list includes 10 additional orthoses codes that will require a require a face-to-face encounter...

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