Non-Assigned: How do those claims get processed?

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Ronda Buhrmester is a veteran speaker for Essentially Women; she is a billing and reimbursement expert and a former mastectomy fitter. Join us at the Essential Meet Up in Philadelphia on April 16 and The Women's Health Track at Heartland Conference in Waterloo, Iowa on June 20-21 for this hands-on training.

 

Non-Assigned - How Do Those Claims Get Processed, Ronda Buhrmester, Reimbursement Specialist, VGM Group, Inc

About Ronda:

As a VGM associate since 2012, Ronda specializes in the billing and reimbursement.  She managed a hospital-based DME in Illinois for 12 years, and handled sales and marketing.  Ronda is a respiratory therapist as well as a certified mastectomy fitter.  She assists VGM members with review of claims and all types of audits, and educates members on medical policies in the respiratory, face to face ruling, and general DME areas.  She serves on the Jurisdictions A, B, and D respiratory team, is a member of the Provider Outreach and Education team for Jurisdictions A, B, and C and the Jurisdiction D, and attends the council meetings with Jurisdiction B, C, and D. She is also on the Great Lakes Home Medical Services Association Board of Directors and a member the National Supplier Clearinghouse Advisory Council.  Ronda has presented at the VGM Heartland Conference as well as the Medtrade conferences and state association meetings, and has conducted webinars and on-site education with VGM Members.

Session Overview:

With the lower reimbursements, companies have had to change business practices to make sure patients are taken care of while making sure to get paid for the services provided.   We are in the industry because we enjoy seeing the satisfaction that is brought to the patient when we have helped them feel good and feel normal.  It’s a challenge to take care of the patient’s needs and knowing Medicare reimbursement is at a point that collecting payment upfront has become the new normal in order to survive and thrive.  During this session, we will discuss the meaning of non-assigned claims.  We will also review the proper message to deliver to the patients so the DMEPOS supplier is not the “bad guy” as it can be perceived.   Let’s take time to dig little deeper into the meaning of non-assigned which means attendee participation is important.

Learning Objectives:

  1. Identify the difference between participating vs. non-participating and assigned vs. non-assigned claim submission
  2. Review updates with Advance Beneficiary Notices of Non-Coverage (ABNs) and how to properly execute
  3. Discuss the proper message to relay to the patients for non-assigned claims and collecting payment upfront
  4. Participate in a practice session for submitting claims non-assigned

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