Tag: Coding
Stakeholders on seat elevation: ‘We need more details’
March 20, 2024Liz Beaulieu, Editor
WASHINGTON – Complex rehab stakeholders are disappointed in CMS’s payment rate for seat elevation systems and have requested a meeting with the agency to learn more about how it landed on about $2,000.
That rate is lower than the $2,800, on average, that providers are being paid for the systems on an interim basis, and significantly lower than the rate stakeholders had recommended.
“The payment piece was disappointing,” said Wayne Grau, executive director...
CMS releases coding, payment info for seat elevation systems
March 4, 2024HME News Staff
WASHINGTON – CMS has announced coding and payment information for seat elevation systems for complex rehab power wheelchairs, AAHomecare has reported.
The key takeaways, according to the association:
Discontinues existing HCPCS Level II code E2300, “Wheelchair accessory, power seat elevation system, any type,” effective March 31, 2024
Establishes E2298, “Complex rehabilitative power wheelchair accessory, power seat elevation system, any...
CMS releases coding plan for power seat elevation
November 13, 2023HME News Staff
WASHINGTON – CMS has issued preliminary recommendations for coding and pricing for power seat elevation systems, NCART has reported.
The recommendations include discontinuing the existing HCPCS Level II code E2300, “wheelchair accessory, power seat elevation system, any type,” and establishing two new HCPCS Level II codes at a set fee schedule amount:
EXXXX, “complex rehabilitative power wheelchair accessory, power seat elevation system, any type”
EXXXX,...
AdvancedMD releases codebook
March 6, 2023HME News Staff
SOUTH JORDAN, Utah – AdvancedMD, a software provider, has released its 2023 CPT/HCPCS Codebook. The resource includes the full list of updated CPT/HCPCS codes, identifying which medical codes have been added, revised and deleted by CMS. “Billing errors are an expensive mistake, equating to approximately $125 billion in uncollected money each year,” said Tim Constantino, vice president and head of product at AdvancedMD. “Not only do incorrect codes result in massive bill collection...
van Halem Group adds thought-leader
July 27, 2021HME News Staff
ATLANTA – The van Halem Group has announced that Dr. Doran Edwards has joined its team as a medical advisor. Edwards recently retired after three years with Palmetto GBA, where he was the medical director for the Pricing, Data Analysis and Coding contractor. He was also the medical director of the SADMERC, the predecessor to the PDAC from 2003-08. “Over the last few years, the van Halem Group has been working with manufacturers as they bring new products to market and need to navigate...
CMS schedules coding meeting
March 7, 2019HME News Staff
BALTIMORE, Md. - CMS will hold the annual Healthcare Common Procedure Coding System (HCPCS) Coding and Payment Determinations public meeting for DMEPOS on June 11-12, 2019. The meeting provides an opportunity to discuss coding and payment determinations for all new requests for revisions to the HCPCPS codes. Interested parties can make oral presentations or submit written comments. Registration information will be available at a later date.
Contract switches to Palmetto GBA
January 2, 2019HME News Staff
COLUMBIA, S.C. - Palmetto GBA is taking over as the Pricing, Data Analysis and Coding (PDAC) contractor this month. The PDAC receives, evaluates and processes coding verification applications for DMEPOS; establishes, maintains and updates all coding verification decisions on the product classification list; provides coding guidance for manufacturers and suppliers on the proper use of HCPCS; maintains and publishes the NDC/HCPCS crosswalk and OACD pricing files; and conducts DMEPOS data analysis....
Mediware bolsters home health presence
July 13, 2018HME News Staff
LENEXA, Kan. - Mediware Information Systems has acquired Fazzi Associates, a Northampton, Mass.-based provider of coding services to the home health and hospice market. Fazzi also provides consulting, training, benchmarking and research to more than 1,400 agencies across all 50 states and Washington, D.C. “The acquisition creates a unique alignment between two health care (companies)—one in innovative software, the other in outsourced services, consultation, and education,” Mediware...
CMS limits K0108 for manual wheelchairs
February 10, 2017Liz Beaulieu, Editor
WASHINGTON - CMS has taken away a Medicare beneficiary's “right to choose,” now that providers aren't allowed to use K0108 for titanium or heavy duty upgrades for manual wheelchairs, industry stakeholders say.In a joint article on Dec. 15, the DME MACs state that the codes for manual wheelchairs—K0001 through K0009—have always included the cost of these upgrades.“Suppliers billing for manual wheelchair bases must not include HCPCS code K0108 in addition to the base wheelchair...
Mediware managers named to nat'l claims committee
December 21, 2016HME News Staff
LENEXA, Kan. - Two DME software product managers at Mediware Information Systems have been appointed to represent AAHomecare on the National Uniform Claims Committee for 2017. Rebecca Bowden and Kimberly Commito will participate in industry discussions related to maintaining the healthcare provider taxonomy code set, managing 1500 claims forms and monitoring legislative and regulatory changes that impact claims. NUCC comprises a diverse group of healthcare industry stakeholders representing providers,...