The Details Matter

An audit and compliance newsletter

September 10, 2014
by VanHalem Group
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A Word from Wayne

The summer months have seen some big changes for The van Halem Group, the most notable being our merger with VGM Group. For years, our organizations worked collaboratively to help providers as they navigate the Medicare maze of audits and … Continue reading

September 9, 2014
by VanHalem Group
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Audit Alerts

DME contractors perform pre- and post-payment reviews on a continual basis. Through data analysis, the medical review department determines the codes it will review and then sends Additional Documentation Request (ADR) letters to suppliers that bill those codes. The following list includes … Continue reading

September 9, 2014
by VanHalem Group
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Utilizing the Upgrade Policy

An upgrade is defined as an item that goes beyond what is medically necessary under Medicare’s coverage requirements. When billing an item that you know will not be paid in full because it does not meet the coverage criteria stated … Continue reading

September 9, 2014
by VanHalem Group
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Did You Know? Date Stamp Advice

A date stamp (or similar) is required that clearly indicates the supplier’s date of receipt of both the face-to-face record and the completed WOPD with the prescribing physician’s signature and signature date.

June 11, 2014
by Admin
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VGM, The van Halem Group merge

WATERLOO, Iowa – The VGM Group and The van Halem Group have merged, allowing the member services organization to offer “an array of mission-critical professional services” related to audits. “They are the recognized leader in the audit defense field and … Continue reading

March 7, 2014
by Admin
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Don’t become complacent!

WASHINGTON – Industry stakeholders caution HME providers against putting too much stock in CMS’s announcement last week that it will not initiate new audits as it transitions to new recovery audit contractors (RACs). “Essentially, this is common that a contractor … Continue reading

January 25, 2014
by Admin
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Budget Deal Whacks Medicare Providers

WASHINGTON — It’s hard to discern in the budget deal announced Tuesday night, but the bulk of its deficit savings come from fresh cuts to Medicare providers. Under the proposal announced by Rep. Paul Ryan (R-Wis.) and Sen. Patty Murray (D-Wash.), chairs … Continue reading