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Tag: coding


Also Noted

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.

coding, public meeting


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Also Noted

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....

coding, Palmetto GBA, PDAC, pricing


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Also Noted

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...

coding, consulting, Fazzi Associates, home health, M&A, Mediware, software


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Mobility

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...

billing, coding, heavy duty, K0108, manual wheelchairs, titanium


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Also Noted

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,...

coding, Mediware


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Guest Blog

Billing non-assigned: Myths, part 1

August 5, 2016HME News Staff

Editor's note: In the wake of new market pressures, upgrades, non-assigned claims and cash sales are taking center stage, says industry consultant Andrea Stark. The market has changed and your business should contemplate the suitability of these options, but they are not appropriate in all cases, she says. This is the first in a series of mini-articles that break down the top myths of filing non-assigned claims and leveraging upgrades and cash sales. Myth #1:  If an item is not coded, it does...

Andrea Stark, coding, non-assigned


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News

DME MACs clarify vent requirements

May 6, 2016HME News Staff

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.While the National Coverage Determination stipulates that vents are covered for neuromuscular diseases, thoracic restrictive diseases and chronic respiratory failure, the DME MACs acknowledge that these disease groups overlap conditions described in the local coverage determination for respiratory assist...

Bi-level PAP, coding, coverage, cpap, vents


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Guest Blog

Andrea Stark's last minute ICD-10 advice

September 25, 2015HME News Staff

We are down to the wire on the ICD-10 transition deadline, and healthcare professionals everywhere are feeling the heat. MiraVista has developed some last minute advice to aid DME suppliers in their final steps: 1.      Focus on the highest and best use for your resources. If you are staring down a massive data set, don't work top to bottom. Parse out your data set to focus on active rentals, as these orders will create invoices on their own post-transition. 2.     ...

billing, coding, ICD-10 transition


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News

ICD-10: Providers brace for disruptions from physicians, payers

September 18, 2015Tracy Orzel

YARMOUTH, Maine - About half of the respondents to a recent HME NewsPoll (55%) say they're ready for the transition to ICD-10 on Oct. 1. The bigger question: Are physicians and payers?A whopping 70% of respondents say they expect some disruption in cash flow as physicians and payers navigate the new code set.“(The transition) won't disrupt cash flow through our fault, but who knows what will happen at the insurance companies,” said Janet Tersoff, billing supervisor at New Hampshire Pharmacy...

coding, icd-10, transition


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Specialty Providers

CMS overhauls vent product category

June 5, 2015HME News Staff

WASHINGTON - CMS announced on Thursday that it has dropped non-invasive vents from the competitive bidding program for Round 1 2017.The decision is part of a complete overhaul of the product category, with the agency also announcing that it would create two new codes for vents on Jan. 1 (one for non-invasive and one for invasive), and discontinue five existing codes (E0450, E0460, E0461, E0463, E0464).“For Medicare program purposes, this change is needed to correctly apply national coverage...

coding, competitive bidding, vents


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