Among the top denial reasons for E0100 claims, which have a 16.1% denial rate, are that the patient has "same or similar" equipment, is in a nursing home or on an inpatient hospital stay at the time of
In order to avoid governmental scrutiny, it is crucial that all marketing programs and business arrangements be established and implemented properly.
The overall Medicare denial rate for claims for A4353, intermittent urinary catheter, is 18.5 percent.
Industry consultant Andrea Stark of MiraVista LLC offers a clear explanation of how CMS' new reasonable useful lifetime (RUL) policy for stationary and portable oxygen equipment affects HME suppliers.
The A6243 — hydrogel dressing, wound cover, sterile pad, each — has an overall denial percentage of 19.4.
HME providers face situations every day that fall into areas of gray, but the unforgiving climate of Medicare audits is all black-and-white.
