CMS/Medicare
The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
Escaping the Medicare reimbursement model doesn’t have to remain a dream
Addressing the Advance Beneficiary Notice of Noncoverage under competitive bidding
Medicare reimbursement fees are arbitrary and artificial, bearing no resemblance to actual HME/DME market prices
If you know what you're dealing with, you can avoid or reverse K0858 denials
Prepare early for the training CMS requires of all HME/DME technical staff
Do federal anti-fraud statutes and supplier standards apply?
With the right approach, portable power products represent an exciting new revenue stream
As patients become eligible for Medicare, they may be using equipment paid for by previous primary insurance.
How the competitive bidding experience of Round 1 participants can help you succeed in Round 2
VGM's John Gallagher and Mark Higley track the current barrage of legislative and regulatory challenges.
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid.
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.