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Tag: Michael Blakey


News

Michael Blakey: Embrace templates, but do it right

September 25, 2015Theresa Flaherty, Managing Editor

When it comes to using templates confusion reigns. So HME News reached out to Michael Blakey to clear a few things up. Blakey, president of DMEevalumate, says he's excited that the conversation around templates has evolved to the point where providers are asking what they are and if they should be embracing them.HME News: So, can HME providers use templates or not?Michael Blakey: They are certainly allowed. With all the noise surrounding competitive bidding, the face-to-face requirement and the PMD...

Michael Blakey, templates


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Smart Talk

Face-to-face rule: Be the solution, not the problem

June 20, 2014Michael Blakey

A. With face-to-face (F2F) encounter documentation now required for 166 items of DME and a proposed significant expansion of the prior authorization demonstration project looming, referring physicians who have historically said “my way or the highway” in regard to face-to-face documentation are now being held accountable.  Today, DME providers are more insistent that physicians complete and appropriately document F2F encounters. DME providers know all too well that it no longer makes...

face-to-face rule, Michael Blakey, physician documentation


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Smart Talk

Face-to-face rule: Step into doc's shoes

May 23, 2014Michael Blakey

A. DME companies need the face-to-face paperwork required by Medicare, and physicians, for whatever reason, have trouble providing it. The push and pull over accurate and complete paperwork documenting medical necessity has always created an issue. In business it is important to understand where another person is coming from to more efficiently work with them. Physicians do not want to have discussions about the importance of complete and accurate paperwork any more than DME representatives...

DMEevalumate, face-to-face rule, Michael Blakey


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Mobility

Industry 'ready' for prior auths

April 11, 2014Leah Hoenen

WASHINGTON - Industry stakeholders support CMS's plans to expand the PMD demo—with a few tweaks.  “I'm all for it,” said Peggy Walker, billing specialist at VGM. “I'm ready for more prior auths.”In an April 4 emergency Federal Register notice, CMS detailed plans to expand the prior authorization program to Pennsylvania, Ohio, Louisiana, Missouri, Maryland, New Jersey, Indiana, Kentucky, Georgia, Tennessee, Washington and Arizona, bringing the total number of demo...

DMEevalumate, Don Clayback, Michael Blakey, NCART, PMD demo, prior authorizations, Seth Johnson


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Mobility

High error rate for PMDs sticks

December 20, 2013Elizabeth Deprey

WASHINGTON - CGS, the Jurisdiction D DME MAC, released an overview of its K0823 prepay review activity this month, and the results are ugly.From the second quarter of 2012 to the second quarter of 2013, the denial rate rose steadily until hitting a peak of 69%. The denial rate fell to 54% for the third quarter of 2013—not much better.These rates transcend jurisdictions, stakeholders say, and are especially troubling considering all of the other pressures that HME providers face in today's market.“No...

denial rate, error rate, Michael Blakey, Peggy Walker, PMDs


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