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.
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.
This month in our DME MAC comparison, Jurisdiction C barely made it out of the No. 1 spot and has turned over the title to Jurisdiction D for claim denials
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
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 No. 3 denial reason code from Medicare among HME providers as reported by RemitData is CO57: Payment denied/reduced because the payer deems the information
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
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HomeCare Heroes 2025 Finalist
HomeCare Heroes 2025 Finalist
HomeCare Heroes 2025 Finalist
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