June 29, 2018 In February 2018, vHG informed you that legislation was passed that CMS will now consider orthotist and prosthetist notes as part of the patient’s medical record. The legislation included an amendment to 13 Section 1834(h) of the Social Security Act... June 29, 2018 The Office of Inspector General (OIG) released a report (June 2018) regarding replacement Positive Airway Pressure (PAP) supplies and denied claims. According to their report, most Medicare claims that DME suppliers submitted for replacement PAP device... June 8, 2018 CMS recently announced the likely return of pre-claim reviews in Medicare home health. The return presents a new version of claim review that would give Home Health Agencies (HHAs) the option of 100% pre-claim review or 100% post-claim review. HHAs that... June 5, 2018 The PMD Prior Authorization Demo program was established in 2012 in seven states and was expanded to an additional 12 states in October 2014. The program included the following codes:
All power operated vehicles (K0800-K0802 and K0812)
All standard... June 1, 2018 The Office of Inspector General (OIG) has added noninvasive home ventilators to their active work plan items. Recently announced on the 'Active Work Plan Items' list, the audit details are as follows:
For items such as noninvasive home ventilators (NHVs)...
It’s Official – Orthotist/Prosthetist Notes and Medical Necessity
Replacement Positive Airway Pressure (PAP) Device Supplies: Claim Denials and the OIG Report
Pre-claim Review to Return to Home Health?
Power Mobility Device Prior Authorization Extended and Expanded Nationally
OIG Announces Noninvasive Home Ventilators Audits and Onsite Visits
