WASHINGTON, D.C. (May 29, 2020)—Last year’s Omnibus bill included a provision to exempt manual complex rehab technology (CRT) accessories from bidding derived prices for an 18-month period starting January 1, 2020.
claims
WASHINGTON, D.C. (February 7, 2020)—The Recovery Audit Contractor (RAC) has been approved to audit hospital beds and manual wheelchairs.
How to fix the divide from delivery to billing
WASHINGTON, D.C. (October 23, 2018)—Citing “strong support from the supplier community” as well as initial success in DME MAC Jurisdictions C and D, CMS announced expansion of the Telephone Discussions & Re-Openings Demonstration into Jurisdictions A and B, starting November 1, 2018.
Effective date of August 1 give providers time to adapt.
WASHINGTON, D.C. (May 14, 2018)—Effective August 1, 2018, the Centers for Medicare & Medicaid Services (CMS) will require suppliers to use KX, GA, GY and GZ modifiers on oxygen claims. The KX modifier will indicate when payment criteria is met, and the GA, GY and GZ modifiers provide more information for oxygen claims that do not meet payment criteria.
Expert review allows changes prior to submission to CMS, reducing audit burden.
ATLANTA (July 17, 2017)—Brightree, a provider of cloud-based patient management software for post-acute care companies, announced the release of OASIS (Outcome and Assessment Information Set) review to its billing and coding suite of services for home health and hospice agencies.
Second quarter registration opening soon.
—Via AAHomecare, WASHINGTON, D.C. (July 13, 2017)—The latest HME Audit Key survey results, running through the first quarter of 2017, show continued appeal determinations in favor of suppliers in several product categories, including overturn rates of 68 percent for respiratory products, 77 percent for ostomy, urological, wound care, and diabetic supplies, and 81 percent for NPWT devices and supplies. Other highlights from this round include:
Much needed relief follows years of AAHomecare regulatory council engagement on this issue.
—Via AAHomecare WASHINGTON, D.C. (April 27, 2017)—The Centers for Medicare & Medicaid Services (CMS) announced significant changes to improve the processing and adjudication of recurring/serial claims for capped rental items and certain inexpensive and routinely-purchased items.
WASHINGTON, D.C. (February 10, 2016)—The President’s proposed FY 2017 Federal Budget released today includes several provisions related to the HME sector, which are related in greater detail in the Department of Health & Human Services (HHS) Budget in Brief.
WASHINGTON, D.C. (January 19, 2016)—Register today to be a part of the data-driven campaign to advocate for much-needed improvements to the audit process and see how your company stacks up in terms of audit volumes and appeal overturn rates.
Register today at HMEAuditKey.org and get ready to enter your Fourth Quarter 2015 audit data starting on January 15.