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Medicare Participation for 2025 is open...Don’t risk a PTAN Revocation!

As a Medicare enrolled supplier/provider, you have the option to choose to be a participating or non-participating provider. When you’re a Medicare-participating...

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Recent Blog Posts

Medicare Participation for 2025 is open...Don’t risk a PTAN Revocation!

As a Medicare enrolled supplier/provider, you have the option to choose to be a participating or non-participating provider. When you’re a Medicare-participating provider:  You are paid the full Medicare Physician Fee Schedule allowed...

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OIG Adds Oxygen and Wheelchair Repairs to the Work Plan

The Office of Inspector General (OIG) added two new DMEPOS items to their Work Plan for October 2024. See below for details.  Medicare Payments to Suppliers for Oxygen and Oxygen Equipment Medicare covers reasonable and necessary durable medical...

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DME MACs share information on proper coding and billing of Pneumatic Compression Devices (PCD)

On October 3, 2024, a joint DME MAC publication was posted to provide guidance on the correct coding and billing of pneumatic compression devices (PCD). The article aslo explains that both the pneumatic compression device LCD and accompanying...

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Billing: Maintain Clean Record

This post was originally featured in HME News. Q. Should I be performing regular audits of my provider enrollment record?   A. Short answer, yes! Providers should review, or audit, their Provider Enrollment Record at least annually. In...

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Telehealth flexibilities to expire at end of year without congressional intervention

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B...

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DME MACs update wheelchair home assessment requirement

On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article.  Effective July 1, 2024, the following statement was REMOVED:  “When...

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DME MACs update wheelchair home assessment requirement

On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article.  Effective July 1, 2024, the following statement was REMOVED:  “When...

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OCR Updates Change Healthcare Cybersecurity Incident FAQs

On Friday, May 31, 2024, the U.S. Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) published an update to the frequently asked questions (FAQs) webpage concerning the Change Healthcare cybersecurity...

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CMS updates Master List and adds new HCPCS to required prior authorization

On May 13, 2024, CMS published updates to the Master List of items that require a face-to-face encounter and written order prior to delivery (WOPD). In addition, CMS updated the Required Prior Authorization List, to include nine additional codes that...

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Medicare Provider Enrollment Updates: What you need to know NOW!

The Centers for Medicare & Medicaid Services (CMS) continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations. Specifically, updates have been made to Medicare’s provider and supplier...

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