Lead the way through the changing regulatory landscape with new technology developments
Audits
As more baby boomers reach the geriatric age, there is a growing shift toward home care options in lieu of more traditional care facilities and nursing homes
These audits may seem inevitable, but denials do not have to be part of the equation
Look for these modifications to take effect in 2015 and 2016
Policy discussions cement the move toward this trend
Providers be aware that insurers must follow certain statutes and regulations under ERISA
Stay aware of medical coverage changes and what written proof you need upon request.
Potential reform is on the horizon for the DMEPOS auditing process
Signed, sealed, denied: buyer beware
Take advantage of the tools at your disposal to make your claims easier
Enroll to avoid being denied by CMS
Trim costs from intake processes, third-party payers, automation initiatives and internal audits
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid.
National Government Services, the Jurisdiction B DME MAC, recently addressed issues with claims filing resulting in a PR16 denial code with an M124 remark code.