You are not in business to break even; you are in business to make a profit.
When Chris Kinard asked Medtrade Spring attendees to describe the HME industry's current condition in one word, some of the responses he got were "catastrophe," "chaos," "uncertainty," "change" and "craziness."
The A6243 — hydrogel dressing, wound cover, sterile pad, each — has an overall denial percentage of 19.4.
Have you tried to call the 1-800-Medicare line lately? VGM's John Gallagher has, and he didn't get very far. In fact, he said of several attempts to register a complaint, calling in is a frustrating and time-consuming dead end.
For Klingensmith HealthCare, the important factor in a patient's hospital-home equation is the DASH in between.
HME billers' nemesis, the KX modifier is back in the spotlight after a notice from Jurisdiction B reminded providers that its improper use could lead to a false claims violation and a hefty fine.