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coverage

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

 - 
07/01/2016

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

DME MACs clarify vent requirements

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05/06/2016

WASHINGTON – In highly anticipated clarifications on coding and coverage requirements for ventilators, the DME MACs have acknowledged that coverage for the product category isn’t quite black and white.

O&P stakeholders add bill to arsenal

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04/26/2016

WASHINGTON – Rep. Renee Ellmers, R-N.C., has introduced a bill that would halt CMS’s plans to make dramatic changes to coverage for prosthetic devices.

Researchers, former senator join fight

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09/01/2015

WASHINGTON – Nine leading U.S. researchers and a former U.S. senator have put pen to paper in the fight against proposed changes to coverage for lower limb prostheses.

Change to enteral nutrition impacts claims payment

 - 
Monday, July 6, 2015
Andrea Stark
reimbursement consultant, Mira Vista

A new enforcement of quantity details on detailed written orders for enteral nutrition is manifesting in claim denials.

AMA addresses coverage, payment for telemedicine

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06/11/2014

CHICAGO – The American Medical Association (AMA) voted this week at its annual meeting to approve a list of guiding principles to ensure the appropriate coverage and payment for telemedicine services.