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Contract switches to Palmetto GBA


COLUMBIA, S.C. – Palmetto GBA is taking over as the Pricing, Data Analysis and Coding (PDAC) contractor this month.

Mediware bolsters home health presence


LENEXA, Kan. – Mediware Information Systems has acquired Fazzi Associates, a Northampton, Mass.-based provider of coding services to the home health and hospice market.

CMS limits K0108 for manual wheelchairs


WASHINGTON – CMS has taken away a Medicare beneficiary’s “right to choose,” now that providers aren’t allowed to use K0108 for titanium or heavy duty upgrades for manual wheelchairs, industry stakeholders say.

Mediware managers named to nat’l claims committee


LENEXA, Kan. – Two DME software product managers at Mediware Information Systems have been appointed to represent AAHomecare on the National Uniform Claims Committee for 2017.

Billing non-assigned: Myths, part 1

Friday, August 5, 2016
Andrea Stark
reimbursement consultant, MiraVista

Editor's note: In the wake of new market pressures, upgrades, non-assigned claims and cash sales are taking center stage, says industry consultant Andrea Stark.

DME MACs clarify vent requirements


WASHINGTON – In highly anticipated clarifications on coding and coverage requirements for ventilators, the DME MACs have acknowledged that coverage for the product category isn’t quite black and white.

Andrea Stark’s last minute ICD-10 advice

Friday, September 25, 2015
Andrea Stark
reimbursement consultant, MiraVista

We are down to the wire on the ICD-10 transition deadline, and healthcare professionals everywhere are feeling the heat. MiraVista has developed some last minute advice to aid DME suppliers in their final steps:

ICD-10: Providers brace for disruptions from physicians, payers


YARMOUTH, Maine - About half of the respondents to a recent HME NewsPoll (55%) say they’re ready for the transition to ICD-10 on Oct. 1. The bigger question: Are physicians and payers?

CMS overhauls vent product category


WASHINGTON – CMS announced on Thursday that it has dropped non-invasive vents from the competitive bidding program for Round 1 2017.

Mobility providers balk at single code system


YARMOUTH, Maine – Mobility providers aren’t lining up to support a CMS proposal to describe, and pay for, standard manual and standard power wheelchairs each under a single code.