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How to Grow and Manage a Thriving HME Business Amidst Audit and Compliance Landmines

The HME industry is a vital part of the healthcare ecosystem, providing essential services and equipment to patients in need. However, navigating the complex landscape of audits and compliance can be challenging. While the goal is to grow your HME business,...

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SMRC adds Urinary Catheters to their Current Projects list

Noridian Healthcare Solutions, LLC (Noridian), as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare and Medicaid (CMS), announced that they are conducting post-payment review of Medicare DME intermittent...

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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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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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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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Reminder: Annual Medicare Participation Announcement

Every year from mid-November through December 31, providers can decide if they want to participate in Medicare for the upcoming year. In early to mid-November, your MAC will send a post card reminding you about the annual participation open enrollment...

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Friday FAQ

Question: I am just starting a new home medical equipment business. How can The van Halem Group help? Answer: At vHG, we offer a variety of services for new DMEPOS suppliers, including assistance with getting your business accredited and enrolled...

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Changes to EFT authorization agreement form (CMS-588) submissions

Effective August 21, 2023, Electronic Funds Transfer (EFT) Authorization Agreement Form (CMS-588)  must be sent to the applicable National Provider Enrollment (NPE) contractor for the supplier’s physical location. Please refer to the below...

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