Archive
CMS Releases Clinical Templates to Assist in Provider Documentation
By Donna Youngblood, RN, BSN, CPC
In April 2018, CMS released their latest drafts
of DMEPOS templates and suggested Clinical Data Elements (CDE) for clinical
providers. These templates provide all required elements CMS is looking for
related to coverage...
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December 28, 2018
DME Ventilators
Multi-Function Ventilator is Billable 1/1/2019. Can you meet coverage criteria?
By Carrie Nienberg, RN, CPC, Director of Clinical Operations
Effective January 1st, 2019, E0467 can be billed to Medicare for reimbursement. An E0467 is defined as "a home ventilator, multi-function respiratory device, also performs any or all of...
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Changes in Billing Bilateral Modifiers
On December 6, 2018, the DME MACs issued a joint publication advising on the proper billing of RT and LT modifiers. Effective for claims with dates of service (DOS) on or after 3/1/2019, suppliers must bill each item on two separate claim lines using...
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December 4, 2018
Home Health
Home Health Review Choice Demonstration: What you need to know now
On November 27, 2018 CMS held a special open door forum to update Home Health Services providers on the soon to begin review choice demonstration. The van Halem Group participated and took notes for you! Here's what you need to know right now.
Who...
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