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Face-to-face rule: Step into doc's shoes

Q. What does the face-to-face rule mean for doctors?

A. DME companies need the face-to-face paperwork required by Medicare, and physicians, for whatever reason, have trouble providing it. The push and pull over accurate and complete paperwork documenting medical necessity has always created an issue. 

Face-to-face rule: Give physicians data points

Q. Do clinical templates have a place with the new F2F rule?

A. Yes. The right electronic template provides a dynamic, time-efficient and cost effective solution to succeed at the highest level with the face-to-face (F2F) rule in effect since July 1, 2013. 

Industry ‘ready’ for prior auths


WASHINGTON – Industry stakeholders support CMS’s plans to expand the PMD demo—with a few tweaks.  

“I’m all for it,” said Peggy Walker, billing specialist at VGM. “I’m ready for more prior auths.”

Face-to-face rule: Learn ins and outs

Q. What operational protocols should I implement to comply with the F2F rule?

A. Your organization is unique and the specific operational protocols established by your organization should be unique also.

Follow the yellow brick road

Friday, October 25, 2013
Jamie Loper
co-founder of

True or false: A pad prescription (order to dispense), blood gas study, ABG or oxygen saturation and a completed CMS 484 form is in compliance with CMS’s Oxygen Coverage Criteria Policy?

In brief: Health spending ‘on right track,’ Medicare Advantage enrollment to grow


WASHINGTON – Growth in U.S. healthcare spending over the next 10 years will be modest in comparison to historical trends, according to a Sept. 18 report from the CMS Office of the Actuary.

DMEevalumate adds respiratory program


GAINESVILLE, Fla. – now offers a web-based program to help medical practitioners document a patient’s need for respiratory equipment.

DMEevalumate launches online training guide


GAINESVILLE, Fla. – has launched an online training guide to help providers of power mobility devices (PMDs) comply with proper documentation standards.