New HCPCS Code (K0900) for Custom DME
According to Joint DME MAC A, a new HCPCS code, K0900, has been created for use with custom fabricated durable medical equipment other than wheelchairs. 42 CFR §414.224(a) describes the …
Congress Braves First Steps in Medicare Reform
Seniors beware: Congress is considering changes to what Medicare will pay for, and what’s coming out of your pocket. Congress is getting serious about changes to Medicare, even if that …
HME News: Audits take their toll on finances, according to poll
If you use accounts receivable (A/R) to paint a picture of the financial health of HME providers, what you see doesn’t look very good, according to the results of the …
Medicare Changes Coming When Ron Wyden Takes Over Top Senate Finance Post
Medicare changes that would overhaul the way the national health care program cares for seniors with chronic conditions highlight a Medicare reform bill introduced this week by Oregon Democratic Senator …
Agency Announces Medicare appeals at ALJ on two year backlog
Medicare appeals at the administrative law judge level will be suspended for two years due to backlog, agency announces Long-term care providers filing to have a Medicare claims appeal heard …
NC doctors file suit against state over Medicaid payments
A group of North Carolina doctors filed a class action lawsuit today seeking millions from the state over severely delayed Medicaid reimbursements. The suit says medical providers have been shorted …
New RAC Audits Posted
New RAC Audits Posted Region A Performant Recovery, the recovery audit contractor (RAC), posted a complex review for automatic external defibrillators on December 26 that will specifically look at claims …
HME News: Orthotics codes become more difficult to bill
The 2014 Medicare DMEPOS fee schedule could create billing confusion for orthotics providers. The recently released schedule applies the same payment amounts to 23 orthotics codes, regardless of whether they …