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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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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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CMS Updates to Lists Related to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Conditions of Payment [CMS-6081-N]

By Donna Youngblood, RN, Clinical Consultant at The van Halem Group CMS released its long awaited Master List on January 12, 2022 with new codes being added to both the Master list and Required List. In addition, they have added Power Operated Vehicles...

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Reminder: Payment edits for custom fitted orthotics go in effect October 1, 2021

Effective for dates of service on or after October 1, 2021, if a supplier is located in one of the states listed below and wishes to bill Medicare for certain orthoses coded as OR01 (Orthoses: Custom Fabricated) and OR02 (Orthoses: Prefabricated, Custom...

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Provide Custom Fabricated or Prefabricated (Custom Fitted) Orthotics? You may need to update your enrollment file!

CMS issued CR 12282 to communicate the addition of HCPCS codes that require the use of a licensed/certified orthotist or prosthetist for furnishing custom fabricated and prefabricated (custom fitted) orthoses.  This change will apply...

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