CMS

WASHINGTON – A new initiative underway at CMS would make it easier for healthcare providers to look up documentation requirements, agency officials said during an Oct. 23 Special Open Door Forum. The Medicare Documentation Requirement Lookup Service, still in the prototype phase, would pull together existing requirements, which are currently scattered among various manuals, National Coverage Determinations and Local Coverage Determinations, and present them in a machine-readable format within

WASHINGTON – Christmas has come early for HME providers who have disputed Medicare claims. CMS announced last week that it plans to expand a demonstration project—one that allows providers to speak with reconsideration professionals by phone to try to resolve their denied claims; or re-open denied claims that are stuck at the administrative law judge level—to jurisdictions A and B on Nov. 1. “We’ve been waiting for this with baited breadth,” said Andrea Stark,