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Billing: Meet all requirements

Q. Can there be a review on continued medical need vs. continued use and the requirements?
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08/29/2018

A. For ongoing supplies and rented DME items, in addition to information justifying the initial need of the items and/or supplies, there must be information in the medical record to support that the item continues to remain medically necessary.

Billing: Prepare by self-auditing

Q. A recent OIG report discussed replacement CPAP supplies that do not comply with the Medicare guidelines. What is the correct documentation to collect?
 - 
07/30/2018

A. Don’t take for granted the documentation requirements for refill requests. CPAP supplies fall under the non-consumable guidelines, which are more durable requiring periodic replacement.

Billing: Don't fall for misconceptions

Q. As our company is executing more non-assigned claims, ABNs are being utilized more frequently. Are ABNs required for non-assigned claims?
 - 
06/26/2018

A. The quick answer is maybe. Let’s start with some misconceptions in the industry about non-assigned claims. 

Billing: Get back to basics

Q. The industry focus has changed due to lower reimbursements, stringent documentation requirements, and working with a leaner staff making intake key. Can we go back to the basics of reviewing the intake process?
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05/29/2018

A. Your intake team is responsible for collecting the order, medical records and supporting documentation. If any required information is missing or inaccurate, the team must go back to the referral source to obtain the correct information and explain why it is needed.

BBMK, Allegiance Group strike partnership

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04/11/2018

MIDDLETOWN, N.J., and OVERLAND PARK, Kan. – BBMK Technologies, the provider of a cloud-based homecare software solution called NikoHealth, has entered into an agreement with the Allegiance Group.

Prometheus turns into Prochant

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03/27/2018

CHARLOTTE, N.C. – The Prometheus Group, a provider of HME revenue cycle management services, is rebranding to Prochant. Along with a new name, the company has a new logo, graphics, website and messaging.

Mediware, Empire Home Infusion go deeper

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11/15/2017

LENEXA, Kan. – Mediware Information Systems has announced that Empire Home Infusion Services in Ballston Spa, N.Y., has expanded its partnership with the company to include on-site consulting and training. The provider, part of the St.

Accredo passes muster with OIG

 - 
08/30/2017

WASHINGTON – Accredo Health Group has properly billed Medicare for inhalation drugs, according to a report from the Office of Inspector General.

Billing: Let system guide you

Q. How can ensure I am using the right tools for my company?
 - 
04/24/2017

A. Billing tools are available in abundance, but it’s imperative to find the solution that meets your internal needs.

Billing: Become a billing warrior

Q. How can I be more proactive with my accounts receivables?
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03/27/2017

A. Aggressive accounts receivable management is serious business and keeping your A/R clean requires setting a very high but attainable bar.

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