July 2011

In a perplexing turn, CMS issued a proposed rule that requires a face-to-face exam by a physician who orders home health services under Medicaid. The proposal also requires a face-to-face encounter for DME

The products you display and sell, the attitude your staff presents--these need to reflect compassion and the understanding that you are dedicated to helping others live and age gracefully and with pride.
I recently ran into a case of Medicare waste. No, not the kind we read about in OIG reports or DOJ actions. The kind of waste I saw is much more insidious, and it's built into our health care system.

Among the top denial reasons for E0100 claims, which have a 16.1% denial rate, are that the patient has "same or similar" equipment, is in a nursing home or on an inpatient hospital stay at the time of