April 15, 2016 By: Pam Felkins Colbert, The van Halem Group
Hang on to your hat and your billing number. It’s gonna be a bumpy ride! As we shared with you back in 2014, the Centers for Medicare and Medicaid Services (CMS) issued a new Final Rule in December 2013... April 15, 2016 The following statement was posted in a recent issue of the CMS MLN Connects Provider eNews:
“The Social Security Act prohibits payment for devices used to deliver continuous and/or bi-level positive airway pressure (PAP) as items requiring frequent... April 15, 2016 Jurisdiction A’s RAC, Performant Recovery, is currently auditing post-pay claims on respiratory assist devices (RADs) and vacuum erection devices (VEDs). States that are affected by this review include Connecticut, District of Columbia, Delaware, Massachusetts,... April 15, 2016 Medicare has updated the Program Integrity Manual (Chapter 4, Section 4.26.1) to clarify that long descriptors are valid for the proof of delivery form. Specifically, the manual now reads:
“Suppliers may deliver directly to the beneficiary or the designee....
Hang on to Your Hat and Your Billing Number! Medicare May Revoke Privileges
Audit Alert – Medicare Payment for PAP Devices
Audit Alert! Suppliers Billing Respiratory Assist Devices (RADs) and Vacuum Erection Devices (VEDs) in RAC Jurisdiction A
Audit Alert – Long Descriptions Now Acceptable on the Medicare Proof of Delivery
