April 2011

April 2011

They're Serious about the KX, Folks

HME billers' nemesis, the KX modifier is back in the spotlight after a notice from Jurisdiction B reminded providers that its improper use could lead to a false claims violation and a hefty fine.

Time Running Out for CEDI Transition

In only a few more days, direct dial-up options to the Common Electronic Data Interchange will no longer be available. As of May 1, all providers will be required to use an approved network service vendor for access

NGS Continues K0823 Prepay Review

National Government Services, Jurisdiction B DME MAC, said it is continuing a widespread prepayment medical review for K0823 power chairs.

Round 2 of Competitive Bidding Delayed

Under a revised schedule presented today at a meeting of the Program Advisory and Oversight Committee, the implementation of Round 2 will not begin until the summer of 2013.

Where Do We Go

Where do we go from here? Round 1 of competitive bidding is in place and we are facing Round 2. After what seems a lifetime of study, trial programs and

Ramping Up Lift Sales

Providers can thank the real estate market if they are seeing increased demand for patient lifts and ramps. In a better real estate environment, an older

Moving Toward the Masses

The CPAP market looks a lot like the rest of the home care industry these days full of potential mixed with uncertainty. Manufacturers and providers alike

Making the Grade

I will never forget my freshman year of college when I walked into the first day of a political science class, took my seat and waited eagerly for my

2011's Top HR Challenges

All involved in the home care industry are very familiar with CMS, OIG and the Stark law. We keep current with issues around ZPIC, RAC and DME MAC audits.

Standards of Behavior

The revised Medicare supplier enrollment standards for DMEPOS have been in force for six months or so, since Sept. 27, 2010. Home medical equipment companies