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Andrea Stark

Reporter’s notebook: Audit reprieve a ‘confidence builder’

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08/28/2017

MODESTO, Calif. – It’s not every day that HME providers get good news from a CMS audit contractor, but Home Oxygen Company recently got a break from certain audits.

Cures adjustments require planning

‘This is not a Publishers Clearing House prize, where they show up at the door and give you a cardboard check’
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06/30/2017

YARMOUTH, Maine – Sure, getting the money they’re owed will be great, but are HME providers ready to process adjusted claims?

Are you RAC ready?

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04/24/2017

Since it’s been so long since HME providers have had to grapple with a RAC, stakeholders offered these pieces of advice:

Providers prep for return of RAC

New contract, however, means several improvements to process
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11/18/2016

LIVERMORE, Calif. – Providers should strap in: After a protracted lull, RAC audits will likely pick back up in January, now that CMS has tapped Performant Recovery, based here, to perform post-payment reviews for DME and home health/hospice claims nationwide.

Create 'wiggle room' in profit margins

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09/23/2016

ATLANTA – Keeping an HME company in the black is a daunting proposition in the hardscrabble business environment of recent years, but four of Medtrade’s best instructors say it can be done despite the pitfalls providers constantly face.

What are opportunities, pitfalls of billing non-assigned?

Andrea Stark, Jeff Baird weigh-in on new trend
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08/12/2016

YARMOUTH, Maine – When it comes to billing Medicare non-assigned—something more and more HME providers have been forced to do—there are misconceptions about what can and can’t be done, say industry consultants.

Billing non-assigned: Myths, part 2

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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.

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.

Don’t expect CMS to remain silent on vents, Stark says

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07/01/2016

COLUMBIA, S.C. – CMS is not done tinkering with coverage guidelines for vents, predicts consultant Andrea Stark.

MACs remove ‘imminent death’ requirement for vents

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05/13/2016

WASHINGTON – Recent guidance from the DME MACs on coverage criteria for ventilators is a move in the right direction, say industry stakeholders.

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