HME industry
WASHINGTON, D.C., Dec. 13, 2012—AAHomecare recently asked the Centers for Medicare & Medicaid Services (CMS) for relief from Recovery Audit Contractors for recoupments on submitted claims when the anniversary billing date overlaps with a Medicare Part A stay (i.e., skilled nursing facility or hospital stay).
GAITHERSBURG, M.D., Nov. 20, 2012—According to Karen Long of DecisionHealth, a new Office of Inspector General (OIG) report noting 56 percent of appeals are reversed at the administrative law judge (ALJ) level recommends clarifying unclear Medicare policies that are interpreted differently at the levels of appeal.
BALTIMORE, Md., Aug. 15, 2012—Medicare is denying an increasing number of claims because providers are not identifying or sending claims to the correct primary payer prior to claims submission. Medicare would like to remind providers, physicians and suppliers that they have the responsibility to bill correctly and to ensure claims are submitted to the appropriate primary payer.