Category
February 1, 2022 DME Documentation Orthotics Respiratory Ventilators Wheelchairs 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... September 29, 2021 In a memo just released by the Centers for Medicare & Medicaid Services (CMS), it was announced that upcoming changes were coming to two separate, but medically related, National Coverage Determinations (NCDs). Changes include removing the NCD for Home... July 1, 2021 On June 30, 2021, the U.S. Food and Drug Administration (FDA) published a safety communication to their website. The FDA communication urges patients using the affected devices to talk to their health care providers to determine a suitable treatment... June 25, 2021 On June 14, 2021, Philips Respironics announced the voluntary, global recall of an estimated 4 million continuous positive airway pressure (CPAP) devices, bilevel respiratory assist devices (RADs), and ventilators. The situation is quite fluid; consequently,... April 8, 2020 By Carrie Nienberg, RN, Director of Clinical Operations
Effective immediately, you as a supplier may provide and bill E0467, multi-function ventilator, as an upgrade when the beneficiary only qualifies for the ventilator. Until now, the beneficiary... February 3, 2020 By Sandra Gauron, Appeals Coordinator
Pursuant to the Office of the Inspector General (OIG) report (OEI 06-16-00380), in which the OIG identified potential inappropriate payments to DME suppliers during non-covered SNF stays, CMS has tasked the SMRC... November 12, 2019 Since 2010, the CMS’s Comprehensive Error Rate Testing (CERT) program has identified nebulizers and related drugs (i.e., inhalation drugs) among the top 20 supplies with the highest improper Medicare payments. Based on prior reviews, the Office of... October 21, 2019 By Sandra Gauron, Appeals Coordinator
Part of the Office of Inspector General's (OIG) objectives are to promote economy and efficiency and to detect and prevent fraud, waste and abuse. In order to do this, they develop and continually update their... September 30, 2019 By Donna Youngblood RN, BSN, CPC
There are
many different scenarios for patients requiring replacement PAP supplies.
Common scenarios include the need for new supplies during the 13-month rental
after initiation of PAP therapy, needing supplies for... September 16, 2019 By Donna Youngblood RN, BSN, CPC
If you are a supplier that dispenses Positive Airway Pressure (PAP) devices and/or supplies then you should be familiar with the Local Coverage Determination (LCD) that includes coverage criteria for PAP therapy. The...