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The van Halem Group

Don’t gamble on your claims, van Halem Group says

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04/23/2018

LAS VEGAS – Although Medicare is attempting to reduce claim denials and appeals with a “friendlier” process, HME providers still need to take that process seriously.

Industry appeals for ‘common sense’

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02/02/2018

WASHINGTON – HME issues took center stage at the inaugural meeting of a new CMS focus group aimed at putting “Patients Over Paperwork.”

Vents: RACs join the party

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01/26/2018

WASHINGTON – The national recovery audit contractor for HME has set its sights on ventilators, but that’s no big surprise, industry stakeholders say.

van Halem Group gets HIPAAwise

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08/23/2017

ATLANTA – The van Halem Group, a division of The VGM Group, has finalized an agreement with HIPAAwise to exclusively offer its online HIPAA Compliance Program application to healthcare providers in the post-acute care market.

Improvements to the Adjudication Process of Serial Claims

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06/26/2017

A major win for DME suppliers was announced recently, as CMS released information regarding improvements to the adjudication process of serial 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:

Audits: Use two-tier approach

Q. We received our audit results, which include a large amount of money owed to Medicare based on an extrapolated overpayment! What do we do now?
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04/20/2016

A. To reduce or remove the extrapolation, you will need to appeal the overpayment determination, addressing both the individual claims reviewed in the audit and the extrapolation itself. Consider this a two-tier appeal process.

Audits: Get your strategy

Q. Help! I just received an audit request. What should I do to make this go smoothly?
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03/21/2016

A. From the moment an audit letter lands in your mailbox, to the day the files are organized and ready to go out the door, it is important to have an audit response strategy.

Audits: Be a bit of a sleuth

Q. Is there any way to know what types of equipment/supplies are being audited before I get the dreaded audit notice?
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02/22/2016

A. Believe it or not, you don’t have to be a fortune teller to predict what Medicare and its auditors have on their radar, but being a bit of a sleuth won’t hurt. Let me explain.

Audits: Audits on the rise

Q. Is it my imagination or have the last few months brought an influx of audits?
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01/25/2016

A. It is not your imagination! Aside from your standard DME MAC prepay and postpay audits, three contractors in particular have “upped their game,” so to speak, and the DMEPOS community is certainly feeling the pressure. 

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