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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.  

CMS proposal oversimplifies wheelchair provision


WASHINGTON – The devil’s in the details, and the lack of details in CMS’s proposal to implement bundled monthly payments for standard manual and power wheelchairs has stakeholders on edge.

ICD-10 lurks in shadows


WASHINGTON – It may not be the documentation change grabbing headlines, but the transition to ICD-10, scheduled for Oct. 1, will still muck up the process for HME, industry consultants say.

Orthotics codes become trickier to bill


BALTIMORE – The 2014 Medicare DMEPOS fee schedule could create billing confusion for orthotics providers.

Coding decision redirects RemZzzs


JACKSON, Mich. – RemZzzs may not have given up on restoring Medicare coverage for its CPAP mask liners, but the company, in at least one way, has moved on.