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CMS/Medicare
Home Care is the Future of Health Care
Policy discussions cement the move toward this trend
CMS/Medicare
5 Steps to Audit-Proof Every Claim
Be proactive to avoid unnecessary delay
CMS/Medicare
Reduce Your Denials
Take action and reap major rewards for your company
CMS/Medicare
Can Insurance Carriers Perform Audits the Way Medicare Does?
Providers be aware that insurers must follow certain statutes and regulations under ERISA
A Foolproof Solution to Home Health’s Billion-Dollar Fraud Problem
CMS/Medicare
A Foolproof Solution to Home Health’s Billion-Dollar Fraud Problem
Proof of presence

CMS/Medicare
Additional Documentation Requirements
Stay aware of medical coverage changes and what written proof you need upon request.
CMS/Medicare
Audit Relief Legislation
Potential reform is on the horizon for the DMEPOS auditing process
CMS/Medicare
Understanding the Importance of the Provider Enrollment Process
Signed, sealed, denied: buyer beware
CMS/Medicare
New PECOS Accreditation Process Takes Effect Jan. 6
Enroll to avoid being denied by CMS
Health Care
After Health Care Reform: Developing Merger and Acquisition Strategies
Explore these mergers and acquisitions options in the new era of affordability
Health Care
Connectivity Drives Compliance
CPAP and sleep market looking to the broader implications of health-care changes

Health Care
Pelton's Home Health Care
This company has survived by following the customers’ lead
CMS/Medicare
TENS Unit HCPCS E0720 and E0730
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid.
CMS/Medicare
PR16 Claim service lacks information needed for adjudication
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.
CMS/Medicare
CO13 / OA13: Date of death precedes date of service
There isn't too much room to dispute Medicare when you receive this denial code.
CMS/Medicare
CO16: Claim/service lacks information which is needed for adjudication
CO16Claim/service lacks information which is needed for adjudication The CO16 denial code alerts you that there is information that is missing in order
CMS/Medicare
CO 50: Non-covered services not deemed a medical necessity
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

CMS/Medicare
OA109: Claim not covered by this payer/contractor
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
CMS/Medicare
Apria to Pay $17.6 Million to Settle Charges
Lake Forest, Calif. Apria Health-care has reached a preliminary agreement with the government and whistleblowers to pay $17.6 million, without admitting
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