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Andrea Stark

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.

Regulatory review: Suspensions, overpayments and exemptions

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04/15/2016

WASHINGTON – From a regulatory perspective, the first several months of 2016 have brought pain, and a little bit of relief, to HME providers.

Not so QIC

C2C launches demo to resolve claims at the second level of appeals, before they escalate to the ALJ
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03/11/2016

JACKSONVILLE, Fla. – Certain HME providers will now have a voice at Medicare’s second level of appeals as part of a new demonstration project.

CMS ready to roll with prior authorizations

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12/31/2015

BALTIMORE – CMS is moving forward with its plans to implement a prior authorization process for certain DME and stakeholders say it should make life easier for providers.

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