medicare

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,

Jurisdiction B & C: A new online course on External Breast Prostheses is now available on CGS' website. The course will review documentation requirements, coding rules for prostheses and supplies and guidelines for replacements and refills. To take this course or view other courses offered by CGS, please visit their Provider Outreach and Education page. 

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

Written by: Nikki Jensen, vice president, Essentially Women I want to connect with you to educate you on the importance of contacting your members of Congress to ask for their support of the Lymphedema Treatment Act, H.R. 930 and S. 497.   Why?  Because it matters!  A little background on why this bill is so important: Lymphedema is a serious medical condition that has no cure.  When the lymphatic system becomes damaged or impaired the body cannot effectively remove