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Tag: Ronda Buhrmester


Ronda Buhrmester

News

Providers should prepare to move on from PHE

September 9, 2022Theresa Flaherty, Managing Editor

WASHINGTON – CMS has begun setting the stage for the end of the public health emergency and so should HME providers, say stakeholders.  The agency recently released an overview, “Creating a Roadmap for the End of the Covid-19 Public Health Emergency,” and while it doesn’t provide new information, it summarizes waivers still in place and those that have already expired.  “Eventually, the PHE is going to come to an end and suppliers need to be thinking...

Andrea Stark, Home Medical Equipment, post pandemic, post-PHE, Ronda Buhrmester


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‘Headache’ will go away for more than just oxygen 

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‘Headache’ will go away for more than just oxygen 

June 17, 2022Liz Beaulieu, Editor

WATERLOO, Iowa – Much of the celebration around the elimination of the certificate of medical necessity (CMN) requirement on Jan. 1, 2023, has focused on oxygen concentrators, but four other product categories will also benefit from the change.  Seat lift mechanisms, TENS devices, pneumatic compression devices and osteogenesis stimulators will all no longer require CMNs starting next year.  “It’s a big deal,” said Ronda Buhrmester, senior director of payer...

Certificate of Medical Necessity, Ronda Buhrmester


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CMS sunsets CMN for home oxygen

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CMS sunsets CMN for home oxygen

October 1, 2021Theresa Flaherty, Managing Editor

WASHINGTON – CMS on Sept. 27 posted a final national coverage determination for home oxygen, but now industry stakeholders must “wait and see” what the DME Medicare Administrative Contractors do with the changes.  While the effective date of the NCD is technically Sept. 27, it won’t be implemented until a later date, when the DME MACs update their local coverage determinations.  “There are a lot of positives here, and we will wait and see,” says...

aahomecare, CMN, home oxygen NCD, Kim Brummett, Ronda Buhrmester, VGM


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‘Take the patient’ 

February 19, 2021Liz Beaulieu, Editor

WATERLOO, Iowa – For HME providers, the need for information and confirmation on waivers related to the public health emergency has ebbed and flowed with surges in COVID-19 cases, says Ronda Buhrmester of VGM Government Relations.  “Back in the spring, the hotspots were big cities and they were the ones dealing with the impact of the pandemic, while other areas were not,” said Buhrmester, senior director of payer relations....

Coronavirus Outbreak, Ronda Buhrmester, VGM Government Relations


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Ronda Buhrmester and the search for solutions

March 27, 2020Liz Beaulieu, Editor

WATERLOO, Iowa - Ronda Buhrmester was one of three speakers, along with Laura Williard and Ty Bello, for a webcast in March on COVID-19 that drew more than 800 attendees. Here's what Burhmester, a reimbursement specialist for VGM, had to say about how the HME industry is trying to keep pace with the dizzying developments around the disease, as well as the changing policies and regulations.HME News: With so much happening around COVID-19, what was the focus of the webcast?Ronda Buhrmester: All three...

Coronvirus Outbreak, Ronda Buhrmester


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Consultant's corner: Providers tackle enrollment, technology in new year

January 24, 2019Liz Beaulieu, Editor

Fighting that fear factorVGM's Ronda Buhrmester spent the last two weeks of 2018 taking frantic calls from HME providers wondering whether or not they should change their Medicare enrollment status for 2019.Her general advice: If you're a participating provider, change to non-participating.“There's a fear factor, because it's a change in enrollment status for a lot of providers, and they're afraid of how it's going to affect their patients and their referrals,” said Buhrmester, director...

Home Medical Equipment, Miriam Lieber, Non-participating, Ronda Buhrmester


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Smart Talk

Billing: Meet all requirements

August 29, 2018Ronda Buhrmester

A. For ongoing supplies and rented DME items, in addition to information justifying the initial need of the items and/or supplies, there must be information in the medical record to support that the item continues to remain medically necessary. Suppliers are responsible for monitoring utilization of rental items and supplies. Timely documentation is within the preceding 12 months—keep this in mind throughout the article.Continued Medical NeedRecent order by the treating physician for refillsRecent...

Billing, Ronda Buhrmester, VGM


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Smart Talk

Billing: Prepare by self-auditing

July 30, 2018Ronda Buhrmester

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...

Billing, CPAP Supplies, Ronda Buhrmester, vgm group


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Smart Talk

Billing: Don't fall for misconceptions

June 26, 2018Ronda Buhrmester

A. The quick answer is maybe. Let's start with some misconceptions in the industry about non-assigned claims.One of the misconceptions is that a supplier has no financial liability and to get an ABN with non-assigned claims. Essentially, non-assigned means that the supplier is not accepting the fee schedule amount because the reimbursement is too low.The explanation on the ABN for a non-assigned claim cannot be “claim is being submitted as non-assigned.” With a non-assigned claim, there...

Billing, Ronda Buhrmester, VGM


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Billing: Get back to basics

May 29, 2018Ronda Buhrmester

A. Your intake team is responsible for collecting the order, medical records and supporting documentation. If any required information is missing or inaccurate, the team must go back to the referral source to obtain the correct information and explain why it is needed. This is why it is so important to ensure your intake staff is thoroughly educated about medical policy requirements and company policies.The intake process needs to be so clean that when the documentation gets to the billing team,...

Billing, Ronda Buhrmester, The VGM Group


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