Look for these modifications to take effect in 2015 and 2016
Audits
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
Enroll to avoid being denied by CMS
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.
There isn't too much room to dispute Medicare when you receive this denial code.
CO16Claim/service lacks information which is needed for adjudication The CO16 denial code alerts you that there is information that is missing in order
CO 50, the sixth most frequent reason for Medicare claim denials, is defined as: non-covered services because this is not deemed a medical necessity by
The second highest reason code for Medicare claim denials reported for HME providers is OA109: claim not covered by this payer/contractor. You must send
Lake Forest, Calif. Apria Health-care has reached a preliminary agreement with the government and whistleblowers to pay $17.6 million, without admitting