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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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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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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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