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


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

DME MACs clarify vent requirements


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


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


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


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.