Tag: CPAP Supplies

LAS VEGAS - CPAP Store USA has launched its own CPAP Store USA brand, including wipes, tubing, filters and travel bags. CPAP Store USA aims to provide affordable options for all major CPAP brands, such as ResMed, Philips Respironics, Transcend and Fisher & Paykel Healthcare. "This is an exciting change for us, a major step forward and marks a strategic pivot in our future direction," said Marina BerBeryan, ambassador for CPAP Store USA. "CPAP store USA brings forth an expanded commitment to all of...

WATERLOO, Iowa - VGM Group has added a 78,000-square-foot warehouse in Phoenix to serve as a fulfillment center for processing and shipping CPAP supplies, along with other health care supplies, directly to patient homes. “We have a large customer base in the western United States,” said Jeremy Stolz, president of VGM Fulfillment. “Phoenix had exactly what we needed geographically, logistically and from a facility standpoint to support our business. We will be able to dynamically...

YARMOUTH, Maine - Industry stakeholders are watching to see how the Office of Inspector General and CMS respond to provider self-audits on CPAP supplies.About a year and a half ago, more than 80 providers were asked to conduct self-audits looking back six years, and their responses ran the gamut from not responding, to reporting an overpayment and sending a check, according to Jeff Baird.“It's going to be interesting,” said Baird, chairman of the Healthcare Group at Brown & Fortunato....

MINNEAPOLIS, Minn. - Recent confusion about whether or not UnitedHealthcare would pay for certain CPAP supplies was the result of a systems error, says the payer. Providers in April received letters stating the insurer would not pay for “essential” supplies during the rental period for a CPAP device. “We have not made any changes to our reimbursement policy for CPAP/PAP supplies,” said Tracey Lempner, director of communications.“We did discover that a CPAP code was incorrectly...

Editor's note: This story has been updated.MINNEAPOLIS, Minn. - Recent confusion about whether UnitedHealthcare would pay for certain CPAP supplies was the result of a systems error, says the payer.Providers in April received letters stating the insurer would not pay for “essential” supplies during the rental period for a CPAP device.“We have not made any changes to our reimbursement policy for CPAP/PAP supplies,” said Tracey Lempner, director of communications. “We...

SAN DIEGO - ResMed has launched ResMed ReSupply for all U.S. HME providers to increase adherence and improve patient satisfaction, the company announced March 25. “Automating the resupply process is critical to maximize patients' success on therapy, as well as HME's business efficiency,” said Raj Sodhi, SaaS president for ResMed. “With Brightree offering an automated resupply solution for its HME customers, and ResMed now launching one for non-Brightree customers, HMEs using any...

WASHINGTON - Noridian Healthcare Solutions, the Supplemental Medical Review Contractor, has added PAP supplies to its review list. The audit is a post-payment review of claims for dates of service from Jan. 1, 2017, through Dec. 31, 2017, according to a blog from the van Halem Group. The Office of Inspector General previously found that Medicare allowed replacement of PAP supplies more frequently than was reasonable and necessary; and that DME suppliers often did not have the required documentation....

WASHINGTON - A recent request by the DME MAC contractors for certain CPAP providers to audit themselves is setting them up to fail, say industry stakeholders.Noridian and CGS recently sent letters to about 82 providers, asking them to do one of two things: audit 100% of their claims for CPAP supplies going back six years; or pull a statistically valid random sample and extrapolate the results.The first request is unreasonable due to the number of claims it would involve, and the second is “ludicrous”...

WASHINGTON - Certain providers of CPAP supplies have begun receiving letters from Noridian and CGS, requesting them to conduct self-audits of claims within 180 days, according to a bulletin from AAHomecare. The providers targeted: those associated with overpayments as a result of a recent study by the Office of Inspector General. If providers identify overpayments, they then need to contact the MACs within 60 days after the review to either adjust the claim, send a check for the overpayment amount,...

A. Don't take for granted the documentation requirements for refill requests. CPAP supplies fall under the non-consumable guidelines, which are more durable requiring periodic replacement. Refills cannot be dispensed automatically; there needs to be communication with the patient to assess the need and must be documented making sure each requested item is being addressed. The request must include the patient's name (or authorized person), date of request, description of each item: non-consumable...