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			<title>A Look at the Year Ahead: Legal and Reimbursement Changes for DME in 2011</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/19-look-year-ahead-legal-reimbursement-changes-dme-2011.html</link>
			<pubDate>Wed, 15 Dec 2010 16:42:10 GMT</pubDate>
			<description>*Webinar: A Look at the Year Ahead: Legal and Reimbursement Changes for DME in 2011* 
 
DME consultant Andrea Stark of MiraVista and healthcare...</description>
			<content:encoded><![CDATA[<div><b><font face="Arial"><font size="3">Webinar: A Look at the Year Ahead: Legal and Reimbursement Changes for DME in 2011</font></font></b><br />
<br />
<font face="Arial"><font size="3">DME consultant Andrea Stark of MiraVista and healthcare attorney Jeff Baird of Brown and Fortunato are teaming up to prepare suppliers for the legal and reimbursement changes ahead. </font></font><br />
<br />
<font face="Arial"><font size="3">The two industry experts will be holding a joint webinar on January 11, 2011. Two time slots are available: 11am &amp; 3pm EST.</font></font><br />
<br />
<font face="Arial"><font size="3">On the agenda: </font></font><br />
<br />
<br />
<ul><li><font face="Arial"><font size="3">The Power Wheelchair Purchase Option <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></font></font></li>
<li><font face="Arial"><font size="3">Operational and Regulatory Requirements in 2011 <o:p></o:p></font></font></li>
<li><font face="Arial"><font size="3">Future DMEPOS (Re)Enrollment Changes <o:p></o:p></font></font></li>
<li><font face="Arial"><font size="3">Competitive Bidding Updates <o:p></o:p></font></font></li>
<li><font face="Arial"><font size="3">Andrea's Audit Outlook <o:p></o:p></font></font></li>
<li><font face="Arial"><font size="3">Legal Advice from Attorney Jeff Baird </font></font></li>
<li><font face="Arial"><font size="3">And Much More! </font></font><O:p< font><O:p< font><O:p< font><O:p< font><O:p< p></li>
</ul><font face="Times New Roman"><font face="Times New Roman"><font face="Times New Roman"><font face="Times New Roman"><font face="Arial"><font size="3">Educate your employees, remain profitable and avoid unforeseen potholes. <b>Get prepared for the reimbursement and legal changes ahead by participating in this webcast!</b></font></font><br />
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<font face="Arial"><font size="3"><b>Added Bonus</b>: Take advantage of a live Q&amp;A session with both presenters! </font></font><br />
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<font face="Arial"><font size="3">Seats are limited – <u><font color="blue"><a href="http://www.miravistallc.com/recent_services.php" target="_blank">Register Now!</a></font></u></font></font><br />
<i><font face="Arial"><font size="3">Cost is $99 per conference line.</font></font></i><br />
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			<dc:creator>AndreaStark</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/andreastark/19-look-year-ahead-legal-reimbursement-changes-dme-2011.html</guid>
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			<title>The Fundamentals of Process Improvement: A Lean Perspective</title>
			<link>http://www.hmetalk.com/forum/blogs/chriscalderone/18-fundamentals-process-improvement-lean-perspective.html</link>
			<pubDate>Sun, 28 Nov 2010 15:36:25 GMT</pubDate>
			<description>*By Chris Calderone, MA, MBA* 
 
*Operational efficiency* has become a commonly used phrase as HME providers figure out how to deal with declining...</description>
			<content:encoded><![CDATA[<div><div align="center"><div align="center"><font face="Arial"><b>By Chris Calderone, MA, MBA</b></font></div><div align="center"><br />
</div></div><i><font face="Arial"><b>Operational efficiency</b></font></i><font face="Arial"> has become a commonly used phrase as HME providers figure out how to deal with declining reimbursement and rising costs<i>. </i>Loosely translated, operational efficiency means that providers must be intensely focused on continuous process improvement in order to reduce the hidden costs associated with inefficient workflow and sub-optimal processes.</font><br />
<font face="Arial">Areas such as intake, billing, and distribution are often laden with workflow issues and waste. This means they also offer many improvement opportunities which eventually develop into focused process improvement projects. </font><br />
<font face="Arial">Many providers do not have trouble getting initial results with their process improvement work, the trouble lies in holding on to the results. Like a marathon runner, providers can hit a performance wall. Any initial gains begin to slowly slip as performance improvement fatigue sets in – “why tried that before, it did not work”. </font><br />
<font face="Arial">Our experience tells us that successful process improvement is largely a function of paying attention to a few basic fundamentals. Providers that consistently achieve results - and more importantly, sustain those results, are also able to avoid some of the common mistakes associated with stalled process improvement initiatives.  </font><br />
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<i><font face="Arial">Addressing the Fundamentals and Avoiding Mistakes:</font></i><br />
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<br />
<b><font face="Arial">1.      </font></b><b><u><font face="Arial">Changing things and not behavior</font></u></b><br />
<font face="Arial">In a typical manufacturing environment, nearly 97% of all accidents can be traced back to human behavior. Similarly, in most lean process improvement initiatives, failure is often tied to human behavior. People have a tendency to revert back to the old way of doing things. </font><br />
<b><font face="Arial">When working to improve a process, modification of the process is necessary so that it becomes difficult to go back to the old way of doing things. However, if you only change "things", then the "things" will get lost or replaced when no one is looking. You will be back to the old way of doing things in no time at all. </font></b><br />
<font face="Arial">The more leaders verify and follow-up, the more people will follow the new standard(s). <b>Failure to consistently verify adherence to standards on the part of leaders will yield a corresponding failure to follow the standards on the part of employees. </b></font><br />
<font face="Arial"><b>Simply put, if you want to encourage specific behaviors, you have to routinely verify the behaviors are actually taking place. </b></font><br />
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<br />
<br />
<br />
<font face="Arial"><b><font face="Arial">2.</font></b>      </font><u><b><font face="Arial">Failure to incorporate standard work</font></b></u><br />
<b><font face="Arial">Standard work is one of the foundational concepts of lean thinking. Standard work involves different people approaching similar work in a similar manner. </font></b><br />
<b><font face="Arial">It is common for us to see ten people working in an intake area using at least six different methods for processing a new referral. This individuality often results in variation or waste - waste in the form of missing or inaccurate information, missed steps, errors, and the costly rework that always comes with errors. </font></b><br />
<b><font face="Arial">Standard work involves finding the one best way to carry out a process, documenting it, and then spreading that “one best way” to everyone working within the process. </font></b><br />
<b><font face="Arial">Intake and billing processes that consistently result in speedier cash collections and reduced pending revenue have one thing in common – they are lead by people that are obsessed with standard work and process consistency. </font></b><br />
<i><b><font face="Arial">Successful processes incorporate the five elements of standard work:  </font></b></i><br />
<font face="Arial"><b><font face="Arial">1)</font>      </b></font><font face="Arial"><u><b>Content</b></u><b> – define the specific steps and tasks that need to be carried out</b></font><br />
<font face="Arial"><b><font face="Arial">2)</font>      </b></font><font face="Arial"><u><b>Sequence</b></u><b> – knowing when each task needs to be completed</b></font><br />
<font face="Arial"><b><font face="Arial">3)</font>      </b></font><font face="Arial"><u><b>Timing</b></u><b> – knowing how long should each step or task take</b></font><br />
<font face="Arial"><b><font face="Arial">4)</font>      </b></font><font face="Arial"><u><b>Outcome</b></u><b> – understanding the expected results of the process</b></font><br />
<font face="Arial"><b><font face="Arial">5)</font>      </b></font><font face="Arial"><u><b>Who</b></u><b> – identifying who should be performing each step or task within the process</b></font><br />
<br />
<br />
<b><font face="Arial">3.      </font></b><b><u><font face="Arial">Ignoring basic project management principles</font></u></b><br />
<font face="Arial">Identifying improvement opportunities is one thing, actually getting the work of improvement done is quite another. It is common for providers to work on projects that never seem to get completed - projects get about 90% complete and they tend to stay there. </font><br />
<font face="Arial">A big part of process improvement involves assigning out work and tasks to others - task management is a crucial part of project success. A simple tool such as a project task tracker can be used to help manage and monitor assigned tasks. </font><br />
<font face="Arial">Project management also involves properly scoping the project.  It is important to place boundaries around the project – you have to identify what you will and will not address as part of the process improvement work. </font><br />
<br />
 <br />
<b><font face="Arial">4.      </font></b><b><u><font face="Arial">Under communicating </font></u></b><br />
<font face="Arial">Our research and experience tells us that when process or wide-scale organizational changes are made, leaders fail to communicate the nature of the change by a factor of ten. That means that when leaders do communicate a change, they typically do 1/9 of what should be done. </font><br />
<font face="Arial">A single e-mail or a quick staff meeting is not sufficient. Consistent messaging using different methods is important. Coaching others along the way can also be an effective form of communicating the importance of change. </font><br />
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<b><font face="Arial">5.      </font></b><b><u><font face="Arial">Not leveraging front-line leaders </font></u></b><br />
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<font face="Arial">Our experience reveals that successful processes (and successful providers) have strong and consistent front-line leadership. Front-line leaders are the team leads, coordinators, leads, and supervisors that are often close to where the process work actually takes place. </font><br />
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<font face="Arial">Processes that perform consistently well have leaders that are able to hardwire accountability into the process.  Leaders are readily available to help staff solve-problems in near real time – they are also focused on coaching their staff in order to help drive results. </font><br />
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<b><u><font face="Arial">Conclusion</font></u></b><br />
<br />
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<font face="Arial">Providers have to continue to find ways to drive down costs and improve efficiency. By applying basic process improvement techniques, providers will be able to avoid some of the more common mistakes associated with less than successful process improvement projects.  </font><br />
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<br />
<font face="Arial">Front-line leadership, accountability, standard work, and project management are all essential components of sustained process improvement – each plays an important role in hardwiring the behaviors required for tangible and lasting process improvement.  <br />
</font></div>

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			<dc:creator>ChrisCalderone</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/chriscalderone/18-fundamentals-process-improvement-lean-perspective.html</guid>
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			<title>New Live Webinar - Respiratory Updates Vital to Your Business: Oxygen, CPAP and RAD</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/17-new-live-webinar-respiratory-updates-vital-your-business-oxygen-cpap-rad.html</link>
			<pubDate>Wed, 15 Sep 2010 17:52:38 GMT</pubDate>
			<description><![CDATA[*Respiratory Updates Vital to Your Business: Oxygen, CPAP and RAD* 
  
Sep-Thu-30-2010 
11:00am & 3:00pm EST  
 
This webinar is co-hosted by:...]]></description>
			<content:encoded><![CDATA[<div><b><font size="3">Respiratory Updates Vital to Your Business: Oxygen, CPAP and RAD</font></b><br />
 <br />
<font size="3">Sep-Thu-30-2010</font><br />
<font size="3">11:00am &amp; 3:00pm EST </font><br />
<br />
<i><font size="3"><font color="#336699">This webinar is co-hosted by:</font></font></i><br />
<a href="http://www.hmenews.com" target="_blank"><i><font size="3"><img src="http://www.miravistallc.com/userfiles/hnews_logo(1).jpg" border="0" alt="" /></font></i></a><br />
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<font size="3">2010 has been a year of change for oxygen, CPAP and RAD suppliers. With revised LCDs, special payment rules under Competitive Bidding, limited maintenance payments and increased audits, respiratory suppliers have had more than their fair share of changing reimbursement guidelines and new regulations. Have you kept up with them all? </font><br />
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<font size="3">Join Andrea Stark for this informative webinar and ensure your respiratory business is operating in compliance with the Medicare program.</font><br />
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<b><font size="3">Andrea will start the course by providing answers to some of the most frequently asked oxygen, PAP and RAD questions, including:</font></b><br />
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<b><font size="3">Oxygen</font></b><br />
<font size="3">* When can I bill for maintenance payments, and what do I have to do to justify the claims?</font><br />
<font size="3">* Which oxygen modalities/equipment qualifies for content payments, and when can I start billing for them?</font><br />
<font size="3">* Which situations qualify for a new 36-month rental period?</font><br />
<font size="3">* What are my obligations if an oxygen patient moves or travels outside of my service area?</font><br />
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<b><font size="3">CPAP &amp; RAD</font></b><br />
<font size="3">* Who can conduct the required re-evaluation of a CPAP or RAD patient?</font><br />
<font size="3">* What is considered compliant usage of a CPAP or RAD, and how must compliance be documented?</font><br />
<font size="3">* What are my options if a CPAP or RAD patient is not re-evaluated within 90-days of initiating therapy?</font><br />
<font size="3">* What if the patient fails their second CPAP trial?</font><br />
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<b><font size="3">Andrea will conclude the session with the latest respiratory billing updates issued by CMS, including:</font></b><br />
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<font size="3">* Clarifications to Oxygen Maintenance Payment Regulations</font><br />
<font size="3">* Proposed Changes to the 36-Month Oxygen Payment Rule</font><br />
<font size="3">* New Documentation Requirements for CPAP to RAD Upgrades</font><br />
<font size="3">* How Competitive Bidding will impact Oxygen, PAPs and RADs</font><br />
<br />
<font size="3">Attendees will be able to submit questions throughout the course and time will be allotted to ask live questions at the end of the event.</font><br />
<br />
<i><b><font size="3">Seats are limited. Online registration will be available until 11:59pm on 9/29/10 or until each session is full.</font></b></i><br />
<br />
<i><font size="3">Cost is just $99 per conference line. To register, visit: </font><a href="http://www.miravistallc.com/recent_services.php" target="_blank"><font size="3">Mira Vista</font></a><font size="3">. </font></i></div>

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			<dc:creator>AndreaStark</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/andreastark/17-new-live-webinar-respiratory-updates-vital-your-business-oxygen-cpap-rad.html</guid>
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			<title>HME News TV: Andrea Stark Speaks on Preparing for Audits</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/16-hme-news-tv-andrea-stark-speaks-preparing-audits.html</link>
			<pubDate>Mon, 13 Sep 2010 19:21:04 GMT</pubDate>
			<description><![CDATA[*HME News TV: Andrea Stark Speaks on Preparing for Audits (http://www.miravistallc.com/blog/?p=1072)* 
  
<SMALL><!-- by admin --></SMALL>*Audits,...]]></description>
			<content:encoded><![CDATA[<div><b><a href="http://www.miravistallc.com/blog/?p=1072" target="_blank"><font size="3">HME News TV: Andrea Stark Speaks on Preparing for Audits</font></a></b><br />
 <br />
<SMALL><font size="2"><font color="#777777"><font face="Arial"><!-- by admin --></font></font></font></SMALL><b><i><font size="3">Audits, audits and more audits. They’re looking for any reason to deny your claim. Here’s how to protect yourself.</font></i></b><br />
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<br />
<font size="3">Go here to see the video interview: </font><a href="http://www.hmenews.com/video.php?cat_id=2&amp;v_id=175" target="_blank"><font size="3"><font color="#b85b5a">http://www.hmenews.com/video.php?cat_id=2&amp;v_id=175</font></font></a><font size="3">.</font></div>

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			<dc:creator>AndreaStark</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/andreastark/16-hme-news-tv-andrea-stark-speaks-preparing-audits.html</guid>
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			<title>CMS Implements Restrictive Enrollment Regulations: Business Hours, Location, Operatio</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/15-cms-implements-restrictive-enrollment-regulations-business-hours-location-operatio.html</link>
			<pubDate>Mon, 13 Sep 2010 19:17:31 GMT</pubDate>
			<description>Effective *September 27, 2010* DMEPOS suppliers looking to enroll or re-enroll in the Medicare program will face enhanced scrutiny from the NSC and...</description>
			<content:encoded><![CDATA[<div><font face="Arial"><font size="3">Effective <b>September 27, 2010</b> DMEPOS suppliers looking to enroll or re-enroll in the Medicare program will face enhanced scrutiny from the NSC and CMS officials. On top of surety bond and accreditation requirements, CMS has issued a Final Rule, which implements several additional licensure and business operation requirements.</font></font><br />
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<br />
<font face="Arial"><font size="3">Some of the new requirements in the rule include:</font></font><ul><li><font face="Arial"><font size="3">Suppliers of products that require a license in their state must have a certified W-2 employee on staff. (There are two exceptions to this rule.)</font></font></li>
<li><font face="Arial"><font size="3">Suppliers must maintain a physical facility on an “appropriate site” (as defined in the Final Rule) with access to the public.</font></font></li>
<li><font face="Arial"><font size="3">Suppliers may not use a cell phone, beeper or pager as their primary business phone.</font></font></li>
</ul><font face="Arial"><font size="3">Additional regulations within the rule also limit which vendors oxygen suppliers may use to obtain oxygen and restrict the circumstances under which a supplier may contact a patient.</font></font><br />
<br />
<font face="Arial"><font size="3">DMEPOS consultant Andrea Stark has reviewed all of the regulations in the Final Rule and will be holding a detailed webinar to clearly explain what suppliers can expect on <b>October 8, 2010 </b>at <b>2:00pm EST</b>. For more information, or to register for the event, visit the </font></font><a href="http://www.miravistallc.com/recent_services.php" target="_blank"><font face="Arial"><font size="3"><font color="#3366ff">Seminars/Webinars</font></font></font></a><font face="Arial"><font size="3"> page of our website.</font></font></div>

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			<dc:creator>AndreaStark</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/andreastark/15-cms-implements-restrictive-enrollment-regulations-business-hours-location-operatio.html</guid>
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			<title>New Live Webinar - Optimizing Front-End Operations With Lean</title>
			<link>http://www.hmetalk.com/forum/blogs/chriscalderone/14-new-live-webinar-optimizing-front-end-operations-lean.html</link>
			<pubDate>Mon, 26 Jul 2010 23:52:44 GMT</pubDate>
			<description><![CDATA[<TABLE border=0 cellSpacing=0 cellPadding=0><TBODY><TR><TD vAlign=top>All new for 2010- learn how to utilize effective and proven lean techniques...]]></description>
			<content:encoded><![CDATA[<div><TABLE border=0 cellSpacing=0 cellPadding=0><TBODY><TR><TD vAlign=top><font size="2">All new for 2010- learn how to utilize effective and proven lean techniques that can help to reduce errors, reduce costly rework, reduce waste, and improve financial performance in HME front-end operations. </font><br />
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<font size="2">It all starts in intake/customer service. Learn how successful providers leverage lean principles to improve workflow, increase efficiency, and improve process consistency. </font><br />
 <br />
<font size="2">This informative live webiner will provide you with <font color="#000">best practice examples</font> of how HME providers have successfully implemented lean techniques to help decrease rejected claims and improve sluggish cashflow</font><br />
 <br />
<i><b><font size="2"><font color="#800000">Optimizing Front-End Operations Using Lean Tools and Techniques</font> </font></b></i><br />
 <br />
<i><font size="2"><font color="#482c1b"><b>August 26, 2010 1:00 PM EST - 2:15 PM EST </b></font></font></i><br />
 <br />
<font color="#000000"><font size="2">Can't make the date? </font><a href="http://us.mc11.mail.yahoo.com/mc/compose?to=chrisc@leanhomecare.com" target="_blank"><font size="2"><font color="#00007f">Contact us</font></font></a><font size="2"> for alternative dates and times. </font></font><br />
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<font size="2">Only $89. The fee includes handouts, live Q/A session, and all tools covered in the webinar. </font><a href="http://www.chriscalderone.com/Intro.html" target="_blank"><font size="2"><font color="#00007f">Click Here</font></font></a><font size="2"> for more information and to register. </font><br />
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<font face="Arial">Call us at 734.709.5487 for additional information.</font><br />
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			<dc:creator>ChrisCalderone</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/chriscalderone/14-new-live-webinar-optimizing-front-end-operations-lean.html</guid>
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			<title>ClaraVista Asks CMS to Convert PECOS PDF to Excel – Problem Solved!</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/13-claravista-asks-cms-convert-pecos-pdf-excel-problem-solved.html</link>
			<pubDate>Mon, 28 Jun 2010 15:05:23 GMT</pubDate>
			<description>*ClaraVista Asks CMS to Convert PECOS PDF to Excel – Problem Solved!*  (http://www.miravistallc.com/blog) 
  
“All I had to do was ask. After a bit...</description>
			<content:encoded><![CDATA[<div><font color="#000000"><font size="3"><i><a href="http://www.miravistallc.com/blog" target="_blank"><b>ClaraVista Asks CMS to Convert PECOS PDF to Excel – Problem Solved!</b> </a></i></font></font><br />
 <br />
<font color="#000000"><font size="3"><i>“All I had to do was ask. After a bit of back and forth, they put the PECOS physician list in a CSV format for everyone to download.” - Maureen Bacon, Controller, <a href="http://www.miravistallc.com/billing.php" target="_blank">ClaraVista</a></i><i>.</i></font></font><br />
 <br />
<font size="3">That’s right. Problem solved! CMS has finally uploaded a list of PECOS enrolled physicians in a <u>useable</u> CSV format. Unlike the previous PDF version, the CSV file will open in Excel or Notepad and can be easily imported into Access. This allows users to quickly sort, filter and search the data with a click of the mouse.</font><br />
 <br />
<font size="3">“This is a huge breakthrough,” said Bacon, “We tried to convert the massive PDF to a CSV file on our own, but even with dual core processors and a T3 internet connection, it proved to be painfully slow and my computer system all but grinded to a halt during the process.”</font><br />
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<font size="3">Bacon said the final straw came after she converted 3,700 of the 13-some-odd-thousand PDF pages, and then lost it all to a system error.</font><br />
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<font size="3">”I waited 3 hours to get less than a third of the way through and then lost everything,” said Bacon. “I knew I wasn’t the only one having this problem, and I wanted to find a solution that would help us, our billing clients and anyone else who needed a better way to search for physicians in PECOS.”</font><br />
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<font size="3">Thanks to Google and a bit of ingenuity, Bacon located an early transmittal issued by CMS that parsed out responsibilities for implementing the PECOS edits.</font><br />
 <br />
<font size="3">“I found a release that contained the names and e-mail address of two of the people put in charge of creating the PECOS file,” said Bacon. “I sent them an e-mail explaining the problems I was having with the PDF and asked them if they could convert the file into a more user friendly spreadsheet.”</font><br />
 <br />
<font size="3">Believe it or not, Bacon received a response just thirty minutes later.</font><br />
 <br />
<font size="3">Initially, Bacon was advised to independently convert the PDF to text or use the search function to look up the physician’s NPI.</font><br />
 <br />
<font size="3">“It was clear to me that they didn’t fully understand how long it takes to search 13,000 pages for hundreds of physicians in a PDF file,” said Bacon. “So I gave them an NPI from the last page and asked them to start at page one and search for it; just so they could see how long it takes for themselves.”</font><br />
 <br />
<font size="3">And it looks like that did the trick!</font><br />
 <br />
<font size="3">Less than 24 hours after her last correspondence with CMS officials, a new ZIP file was posted for download at:</font><br />
<a href="http://www.cms.gov/MedicareProviderSupEnroll/06_MedicareOrderingandReferring.asp" target="_blank"><font color="#3366ff"><font size="3">http://www.cms.gov/MedicareProviderSupEnroll/06_MedicareOrderingandReferring.asp</font></font></a><font size="3">.</font><br />
 <br />
<font size="3">The ZIP contains a CSV version of the PECOS file, which lists all 687,819 physicians currently enrolled in the system.</font><br />
 <br />
<font size="3">But Bacon doesn’t credit herself alone for the breakthrough.</font><br />
 <br />
<font size="3">“I didn’t do this one on my own,” said Bacon. “There have been many people before me, including Medicare contractors and industry organizations, who have asked CMS to put the PDF in a better format. I guess I just happened to contact the right people at the right time.”</font><br />
 <br />
<font size="3">Lucky us.</font><br />
 <br />
<i><font size="3">We’d like to offer a special thanks to CMS for listening to our concerns and being so responsive on this issue.</font></i></div>

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			<dc:creator>AndreaStark</dc:creator>
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			<title>Using Excel to Harness the Power of Data Management and Revitalize Your AR</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/12-using-excel-harness-power-data-management-revitalize-your-ar.html</link>
			<pubDate>Thu, 17 Jun 2010 18:47:04 GMT</pubDate>
			<description>As a consultant working in the reimbursement sector of the DME industry, I routinely visit clients to perform assessments of their accounts...</description>
			<content:encoded><![CDATA[<div><font size="3">As a consultant working in the reimbursement sector of the DME industry, I routinely visit clients to perform assessments of their accounts receivable (AR) departments. Like most business owners, these DME suppliers are looking for ways to create a more targeted workflow and improve billing efficiencies. While each case is unique and each client faces their own individual challenges, the one thing I’ve consistently found is that the majority of DME suppliers are underutilizing a valuable tool almost every one of them has at their disposal: Microsoft Excel.</font><br />
<br />
<font size="3">I can’t tell you how many times I’ve met with a client frustrated with the limitations of their current billing software. True, most commercially available software can create standard AR reports (i.e. an Accounts Receivable By Payor report), which aggregate tens-of-thousands of records and provide an agreeable snapshot of current AR standings. However, these reports give little guidance on the type of information many business owners and billing managers base decisions on, such as quality of sales, effectiveness of collections or the cause of recurring problems. But with Microsoft Excel, this is exactly the type of information you can extract. </font><br />
<br />
<font size="3">With a little know-how, suppliers can use Excel to: export and manipulate large quantities of raw data, analyze data to evaluate performance and problem areas, and easily map information that would otherwise have to be manually looked up and entered. </font><br />
<br />
<font size="3">In just a moment, I will provide a few examples of how our DME billing company, ClaraVista, utilizes Excel to produce targeted results with little effort. However, I know it will not do any good if you are unable to take this information and apply it to your own business. That’s why we’d like to go beyond just telling you <i>what</i> you should be doing and actually show you <i>how</i> to do it.</font><br />
<br />
<font size="3">On Wednesday, June 23, 2010, MiraVista will be holding a live Excel webinar tutorial, entitled: </font><a href="http://www.miravistallc.com/recent_services.php" target="_blank"><font size="3"><font color="#3366ff"><b>Maximizing AR Efficiencies through Excel: Your Receptionist or Delivery Tech Could be Your Best Data Analysts</b></font></font></a><font size="3"> and we encourage you to come!</font><br />
<br />
<font size="3">During our Excel Webinar, Derrick Stark CPA, CVA,will use sample reports relevant to the DME industry to show you how to fully utilize the program to strategically analyze, sort and format data in your own sales, collections and AR reports. <b><i>Attendance is being offered at a discounted rate of just $49 and seats are limited to the first 50 participants.</i></b> More information and registration is available at: </font><a href="http://www.miravistallc.com/recent_services.php" target="_blank"><font size="3"><font color="#3366ff">http://www.miravistallc.com/recent_services.php</font></font></a><font size="3">.</font><br />
<br />
<font size="3">With that said, let’s move on to some examples of how we use Excel at ClaraVista:</font><br />
<br />
<b><font size="3">Average Age of Claims By Procedure Code</font></b><br />
<font size="3">As our account managers are combing through vast amounts of AR data, it is helpful for them to analyze collection trends in regards to certain procedure codes. For example, if we see average times increasing, it may indicate: a problem with a specific client’s procedures for providing the service, a processing issue with a specific insurance company, or an increased level of scrutiny by the payor. We also use this analysis as a monitoring component to our own quality control protocol. </font><br />
<br />
<font size="3">We start, by exporting our data to Excel and sorting it by procedure code. We then use Excel to quickly calculate the average age of claims by each procedure code. By running this query over subsequent months and comparing the results, we are able to identify the trends which our staff should focus on to perpetually improve collection results.</font><br />
<br />
<b><font size="3">Mapping</font></b><br />
<font size="3">Another great feature of Excel is that it allows you to easily map information that would otherwise have to be manually looked up and entered. For example, based on standard prefixes associated with Blue Cross/Blue Shield policy numbers, Excel can determine the appropriate Blue payor (e.g. Blue Cross of Alabama, Blue Shield, etc).</font><br />
<br />
<font size="3">At ClaraVista, we maintain a spreadsheet in Excel that correlates standard policy number prefixes to specific payors, and input all of our transactional data, including policy numbers, in a separate spreadsheet. We then have Excel lookup the proper payor based on our Prefixes spreadsheet and identify any records where an incorrect payor is being billed (based on the policy number). The results allow our billing staff to quickly identify any claims that are not paying due to data entry errors related to the payor information.</font><br />
<br />
<b><font size="3">Missing/Expired Authorization Analysis</font></b><br />
<font size="3">We also use Excel is to avoid denials related to missing or expired authorizations. Through a series of simple formulas, we can quickly create custom reports that identify those patients for which there is no authorization at all or the expiration date expires within the next 90 days. This data allows us to generate quick work lists for maintaining current authorizations.</font><br />
<br />
<b><font size="3">You Too Can Benefit From Excel!</font></b><br />
<font size="3">With fee schedule cuts across the board, tighter payment regulations and ever changing policies, you have to maximize your resources and harness the power of data management. All billing software programs are built on database platforms, and most allow for some level of data export. By understanding how to organize exported raw data and manipulate it in Excel, you can produce strong returns on a modest effort.</font></div>

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			<dc:creator>AndreaStark</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/andreastark/12-using-excel-harness-power-data-management-revitalize-your-ar.html</guid>
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			<title>Live DME Webinars on Signature Requrements and AR Efficiencies</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/11-live-dme-webinars-signature-requrements-ar-efficiencies.html</link>
			<pubDate>Tue, 15 Jun 2010 14:08:29 GMT</pubDate>
			<description><![CDATA[*Time is running out to attend these events!* 
  
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			<content:encoded><![CDATA[<div><div align="left"><b><font size="3">Time is running out to attend these events!</font></b></div> <br />
<IFRAME style="BORDER-BOTTOM: #ccc 1px solid; BORDER-LEFT: #ccc 1px solid; BORDER-TOP: #ccc 1px solid; BORDER-RIGHT: #ccc 1px solid" height=280 src="http://www.eventspan.com/event/embed/1u4rstzt2t2/336x280" frameBorder=0 width=336 scrolling=no></IFRAME><br />
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			<dc:creator>AndreaStark</dc:creator>
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			<title>CMS Implements 12-Month Timely Filing Limit - Effective January 1, 2010</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/9-cms-implements-12-month-timely-filing-limit-effective-january-1-2010.html</link>
			<pubDate>Tue, 11 May 2010 20:41:54 GMT</pubDate>
			<description><![CDATA[*CMS Implements 12-Month Timely Filing Limit - Effective January 1, 2010 (http://www.miravistallc.com/blog/?p=932)* 
  
<SMALL>May 11th, 2010 <!-- by...]]></description>
			<content:encoded><![CDATA[<div><b><a href="http://www.miravistallc.com/blog/?p=932" target="_blank"><font size="4">CMS Implements 12-Month Timely Filing Limit - Effective January 1, 2010</font></a></b><br />
 <br />
<SMALL><font size="2"><font color="#777777"><font face="Arial">May 11th, 2010 <!-- by admin --></font></font></font></SMALL><br />
<font size="3">If you are one of the suppliers who attended Andrea’s <u><a href="http://www.miravistallc.com/products.php" target="_blank"><font color="#3366ff">The Impact of H.R. 3590 on DME: How the New Healthcare Bill Affects You!</font></a></u> webinar, or you’ve subscribed to our </font><a href="http://www.miravistallc.com/blog/?feed=rss2" target="_blank"><font size="3"><font color="#3366ff">RSS feed</font></font></a><font size="3"> and are a regular reader of </font><a href="http://www.miravistallc.com" target="_blank"><font size="3">MiraVista's blog</font></a><font size="3">, then this news will come as no surprise to you. If you’re not… then listen up!</font><br />
<br />
<font size="3">On May 7, 2010, CMS released </font><a href="http://www.cms.gov/MLNMattersArticles/downloads/MM6960.pdf" target="_blank"><font size="3"><font color="#3366ff">MLN Matters® MM6960</font></font></a><font size="3">, which reduces the timely filing limit for <u>all Medicare claims</u> (including all DMEPOS) to <u>12-months</u> from the <u>date of service</u>. The 12-month timely filing limit is being implemented in accordance with provisions in H.R. 3590, the recently signed Patient Protection and Affordable Care Act (PPACA), and is effective retroactive to January 1, 2010.</font><br />
<br />
<font size="3">The new 12-month time limit and retroactive effective date are important to DME suppliers for two reasons:</font><br />
<font size="3"><b>1. </b><b>Claims with dates of service from October 1, 2009 through December 31, 2009 will be denied as past timely filing if <u>received</u> after December 31, 2010.</b></font><br />
<font size="3"><b>2. </b><b>Claims with dates of service on or after January 1, 2010 will be denied as past timely filing if <u>received</u> more than 12-months after the service date.</b></font><br />
<br />
<font size="3">In other words, you only have until the end of this year to submit any claims dated back through October of last year, and your claims for January 2010 and beyond will start denying as past timely filing within 12-months of their service dates… starting January of next year!</font><br />
<br />
<font size="3">Because CMS has stated that claims must be “received” within 12-months, rather than submitted, you must be sure to submit your claims early enough for them to be delivered (either electronically or via postal mail) within the 12-month deadline. Per CMS, contractors will generally use a claim’s “From” date as its date of service. In cases where claims require service dates for each line item, the line item’s date will be considered the date of service.</font><br />
<br />
<font size="3">Currently, CMS has only specified one circumstance or “exception” to the timely filing rule. In the event that a Medicare contractor, agent or employee makes an “error or misrepresentation” when handling your claim that causes it to be received late, it will not be denied for timely filing.</font><br />
<br />
<font size="3">The PPACA does grant CMS the authority to specify additional exceptions to the 12-month filing deadline; however we do not expect there to be many, if any at all.</font></div>

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			<dc:creator>AndreaStark</dc:creator>
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			<title>PECOS NPI Updates Complete, Rejections Expected to Decline</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/8-pecos-npi-updates-complete-rejections-expected-decline.html</link>
			<pubDate>Mon, 18 Jan 2010 18:49:56 GMT</pubDate>
			<description>By: Andrea Stark, DME Consultant and Reimbursement Specialist - MiraVista, LLC (http://www.miravistallc.com) 
  
Finally! There’s good news for...</description>
			<content:encoded><![CDATA[<div><font face="Times New Roman"><font size="3">By: Andrea Stark, DME Consultant and Reimbursement Specialist - <a href="http://www.miravistallc.com" target="_blank">MiraVista, LLC</a></font></font><br />
 <br />
<font face="Times New Roman"><font size="3">Finally! There’s good news for providers worried about the number of PECOS warning messages on their GenResponse Reports. In a statement released today, CMS announced that they have completed a systematic update of the PECOS system, in which NPIs have been added to the enrollment records of all physicians / non-physician practitioners.</font></font><br />
 <br />
<font face="Times New Roman"><font size="3">Many physicians were added to PECOS prior to May 2008, when the NPI became a mandatory identifier. Because the new claim edits look for a physician’s NPI first, these incomplete records have been firing warning messages identical to the problem physicians who had no PECOS record at all. Until now, providers had no way of telling whether a flagged physician just needed to update their information or go through the entire PECOS enrollment process, based on the warnings alone.</font></font><br />
 <br />
<font face="Times New Roman"><font size="3">Now that the NPI update is complete, suppliers should see a definite decrease in the number of C200, C201 and C202 warning messages on their GenReports. However, this does not negate the need for action. Unless there is an uncorrected spelling or NPI error in your billing software, these physicians must be educated on the PECOS edits and complete enrollment prior to April 5, 2010, or your claims will result in rejections.</font></font><br />
 <br />
<font face="Times New Roman"><font size="3">CMS has also promised to release an internet-based tool that will allow providers to scrub a physician’s NPI against those listed in the PECOS database. The tool will be made available prior to the start of rejections (currently scheduled for April 5, 2010); however no specific release date has been provided.</font></font></div>

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			<dc:creator>AndreaStark</dc:creator>
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			<title>Top 7 Things to Do at Intake to Avoid Getting Taken</title>
			<link>http://www.hmetalk.com/forum/blogs/hmetalk-blog/7-top-7-things-do-intake-avoid-getting-taken.html</link>
			<pubDate>Wed, 13 Jan 2010 18:05:58 GMT</pubDate>
			<description>*Click here to view the PDF version (http://www.hmetalk.com/docs/top7/Top%207%20Intake%20Tips%20-%20ACU-Serve.pdf).* 
  
  
*From Rocket Science to...</description>
			<content:encoded><![CDATA[<div><div align="center"><b><a href="http://www.hmetalk.com/docs/top7/Top%207%20Intake%20Tips%20-%20ACU-Serve.pdf" target="_blank">Click here to view the PDF version</a>.</b></div> <br />
 <br />
<font size="3"><b>From Rocket Science to Quantum Physics – A Simple Guide to DME Billing</b></font><br />
 <br />
<font size="3">Article 1: Top 7 Things to Do at Intake to Avoid Getting Taken</font><br />
 <br />
<font size="3">1. Use your Software.</font><br />
<font size="3">Many providers are allowing their CSRs to complete a paper setup form rather than entering the information directly into a database. Not only is this step redundant in effort, but most software packages have warnings in place to indicate when required data is missing. </font><br />
 <br />
<font size="3">2. Verify Eligibility through the IVR.</font><br />
<font size="3">Many insurance companies have provided suppliers with more tools than ever before to verify if the patient has active coverage, and that he or she has not received the “same or similar” equipment in the past. Companies that you can use for multiple insurances are Emdeon (</font><a href="http://www.emdeon.com/" target="_blank"><font size="3">www.emdeon.com</font></a><font size="3">) or Zirmed (</font><a href="http://www.zirmed.com/" target="_blank"><font size="3">www.zirmed.com</font></a><font size="3">). Additionally, all four jurisdictions of Medicare recently added a same or similar option to their automated systems as well. </font><font size="3"><a href="http://www.acuservecorp.com/site.cfm/News/7StepsSplmntlMtrls.cfm" target="_blank">Click here for a FREE detailed list by region</a>.</font><br />
 <br />
<font size="3">3. Collect Documentation Up Front.</font><br />
<font size="3">The companies that collect prescriptions, detailed written orders, and other forms of supporting documentation such as sleep studies or SATs prior to submitting the claim generally have the lowest amount of money on hold as a result of documentation related issues. By postponing this step, suppliers are adding needless time and resources to collection for items such as a walker that would otherwise pay quickly. </font><br />
 <br />
<font size="3">4. Use Marketing Reps to help Collect Additional Documentation.</font><br />
<font size="3">Inevitably, not every piece of information will be available up front; utilize gathering documentation as a way to stay in contact with your referral sources. Many providers use the opportunity of collecting more documentation as a marketing tool to get in front of your referral sources. Don’t forget to share success stories of their patients using your products and services when visiting.</font><br />
 <br />
<font size="3">5. Verify the Patient is in good standing BEFORE giving them more Products.</font><br />
 <br />
<font size="3">a. Does the patient owe an outstanding balance? If so, make a payment arrangement before giving them more supplies or new equipment. The phone and Internet offer viable options for payment collection. </font><br />
 <br />
<font size="3">b. Are you getting paid by the insurance for this patient? If you are still waiting for payment on 3 months of oxygen because the CMN has not been signed and returned, why would you give the patient additional equipment? Get the patient involved in contacting the doctor to get you the information you need.</font><br />
 <br />
<font size="3">6. Create Checklists for Products.</font><br />
<font size="3">Give guides to the intake staff on each product to ensure they are asking the questions and obtaining all of the necessary information up front. </font><font size="3"><a href="http://www.acuservecorp.com/site.cfm/News/7StepsSplmntlMtrls.cfm" target="_blank">Click here for a FREE sample checklist</a>.</font><br />
 <br />
<font size="3">7. Evaluate the Intake Staff. </font><br />
<font size="3">The only way to identify training issues or an inadequate employee is to measure their volume and accuracy. </font><br />
 <br />
<font size="3">a. Count the Orders. Run reports of the number of Orders handled daily, weekly and monthly by CSR and post them for all to see.</font><br />
 <br />
<font size="3">b. Measure the Accuracy. Keep track of how many orders by CSR that are rejected at the Front End or found at the Billing Review due to inaccurate or incomplete data. Having a CSR process a large amount of orders but with less than a 95% accuracy rating is costing your business time and money.</font><br />
 <br />
<font size="3">c. Let Auditing be your Friend. Audit 20 charts per CSR per month and look for how many claims were denied, incomplete, missing documentation, patient Information was incorrect, etc.</font><br />
 <br />
<font size="3">ABOUT ACU-SERVE CORP.</font><br />
<font size="3">ACU-Serve (</font><a href="http://www.acuservecorp.com/" target="_blank"><font size="3">www.acuservecorp.com</font></a><font size="3">) incorporates HME workflow, Medicare, Medicaid and Private Payer knowledge, and billing and collections experts into a single service on an Internet-based technology platform. The result is faster payments, higher revenue collection rates, and less management and staffing headaches. Unlike traditional billing service models, ACU-Serve provides HME/DME clients with a new level of control, flexibility, information access, and billing expertise. ACU-Serve functions as an integral part of the HME/DME office staff, not a remote third party billing vendor. Contact Tim Barone at 800-887-8967 for more information.</font></div>

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			<dc:creator>hmetalk-blog</dc:creator>
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			<title>Bill to Eliminate Competitive Bidding Gains Sponsors</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/6-bill-eliminate-competitive-bidding-gains-sponsors.html</link>
			<pubDate>Wed, 06 Jan 2010 20:51:43 GMT</pubDate>
			<description>H.R. 3790, a bill to eliminate the Competitive Bidding program now has 118 co-sponsors. 
 
H.R. 3790 was introduced by Rep. Meek (D-FL) on October...</description>
			<content:encoded><![CDATA[<div><font size="3">H.R. 3790, a bill to eliminate the Competitive Bidding program now has 118 co-sponsors.</font><br />
<br />
<font size="3">H.R. 3790 was introduced by Rep. Meek (D-FL) on October 13, 2009 and has been dubbed the Meek Bill. If passed, the bill would effectively repeal the Competitive Bidding program and terminate the contracts of any bid winners.</font><br />
<br />
<font size="3">To keep itself budget neutral, H.R. 3790 proposes two separate cuts in the consumer price index. The first cut of -0.25% would affect all DME except for Group 3 complex wheelchairs from 2010-2012. A second cut of -0.5% would then occur in 2015 (Group 3 wheelchairs would again be exempt).</font><br />
<br />
<font size="3">MiraVista, LLC </font><br />
<font size="3">PO Box 11544 </font><br />
<font size="3">Columbia, SC 29211</font><br />
<font size="3">Phone: 803.462.9959 ext.252</font><br />
<font size="3">Fax: 803.758.2450</font><br />
<a href="http://www.miravistallc.com" target="_blank"><font size="3">Mira Vista</font></a><br />
<br />
<font size="3">For outsourced DME billing, try ClaraVista, LLC.</font><br />
<a href="http://www.claravistallc.com/billing.php" target="_blank"><font size="3">Mira Vista</font></a></div>

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			<dc:creator>AndreaStark</dc:creator>
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			<title>CMS Changes Mind - Billing NOT Retroactive for Voluntary Termination</title>
			<link>http://www.hmetalk.com/forum/blogs/andreastark/5-cms-changes-mind-billing-not-retroactive-voluntary-termination.html</link>
			<pubDate>Wed, 06 Jan 2010 20:37:47 GMT</pubDate>
			<description>DME suppliers who did not meet surety bond or accreditation deadlines were advised to voluntarily terminate their billing numbers to prevent being...</description>
			<content:encoded><![CDATA[<div><font size="3">DME suppliers who did not meet surety bond or accreditation deadlines were advised to voluntarily terminate their billing numbers to prevent being suspended from the Medicare program for a period of one year. Those suppliers who submitted a voluntary termination request did so with the understanding that billing privileges would be reinstated once they met all Medicare billing requirements and billing would be retroactive to the date of accreditation.</font><br />
 <br />
<font size="3">However, CMS recently threw a serious monkey wrench into the mix when they stated that suppliers would NOT in fact be able to bill retroactive to their date of accreditation, as previously thought. Instead, suppliers must now wait until their CMS-855S applications have been processed by the NSC to begin billing Medicare and will only be able to bill for services performed on or after the date their number is reactivated.</font><br />
 <br />
<font size="3">Several organizations, including AAHomecare, MAMES and the NSCAC are working towards a reversal of this policy. You can count on MiraVista to keep you posted on any changes.</font><br />
 <br />
<font size="3">MiraVista, LLC </font><br />
<font size="3">PO Box 11544 </font><br />
<font size="3">Columbia, SC 29211</font><br />
<font size="3">Phone: 803.462.9959 ext.252</font><br />
<font size="3">Fax: 803.758.2450</font><br />
<a href="http://www.miravistallc.com" target="_blank"><font size="3">Mira Vista</font></a><br />
 <br />
<font size="3">For outsourced DME billing, try ClaraVista, LLC.</font><br />
<a href="http://www.claravistallc.com/billing.php" target="_blank"><font size="3">Mira Vista</font></a></div>

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			<dc:creator>AndreaStark</dc:creator>
			<guid isPermaLink="true">http://www.hmetalk.com/forum/blogs/andreastark/5-cms-changes-mind-billing-not-retroactive-voluntary-termination.html</guid>
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			<title>Thinking Lean: The Power of Standardized Work Practices</title>
			<link>http://www.hmetalk.com/forum/blogs/chriscalderone/2-thinking-lean-power-standardized-work-practices.html</link>
			<pubDate>Wed, 06 Jan 2010 12:58:27 GMT</pubDate>
			<description>*Thinking Lean: The Power of Standardized Work Practices* 
  
*By Chris Calderone, MA, MBA* 
  
Standardized work practices have long been in place...</description>
			<content:encoded><![CDATA[<div><div align="left"><font face="Arial"><font size="2"><font face="Arial"><font size="2"><font size="3"><b>Thinking Lean: The Power of Standardized Work Practices</b></font></font></font></font></font></div> <br />
<div align="left"><font size="2"><font face="Arial"><font size="2"><font face="Arial"><b>By Chris Calderone, MA, MBA</b></font></font></font></font></div> <br />
<div align="left"><font size="2"><font face="Arial"><font size="2"><font face="Arial">Standardized work practices have long been in place in many manufacturing businesses. The standard</font></font></font></font><br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">work practice concept is a part of the lean thinking approach to process improvement. Lean thinking is a</font></font></font></font><br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">quality focused concept that concentrates improvement initiatives within the workflow in an effort to</font></font></font></font><br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">identify and drive out waste and variability within processes. One of the most effective ways to drive out</font></font></font></font><br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">waste and improve process consistency is through the use of standardized work practices.</font></font></font></font></div><font size="2"><font face="Arial"><br />
 <br />
<div align="left"><font size="2"><font face="Arial">Many healthcare organizations and hospitals have focused on implementing standardized work practices</font></font><br />
<font size="2"><font face="Arial">as part of their lean programs and the results have been impressive – improved patient satisfaction,</font></font><br />
<font size="2"><font face="Arial">improved outcomes, and improved financial performance.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">The concept of work standardization can be readily applied to an HME operation.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">A few HME providers have achieved success with implementing robust work standardization methods. A</font></font><br />
<font size="2"><font face="Arial">mid-size provider realized a 10% decrease in pending revenue after it implemented standard work</font></font><br />
<font size="2"><font face="Arial">practices in its intake and customer service area.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">Another provider saw their DSO drop by five days after implementing standardized work practices in their</font></font><br />
<font size="2"><font face="Arial">billing and reimbursement area.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">A large medical supply company reduced the number of pick errors in their shipping operation by 7</font></font><br />
<font size="2"><font face="Arial">percent after implementing standardized work practices. The reduction in pick errors resulted in a direct</font></font><br />
<font size="2"><font face="Arial">cost savings as costly product re-ships were reduced as well</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">Standardize work practices are crucial to improving process results. In many instances, providers rely on</font></font><br />
<font size="2"><font face="Arial">multiple individuals to complete similar work within functional areas. Whenever a group of people work to</font></font><br />
<font size="2"><font face="Arial">complete similar work, they will often come up with very individual methods for completing that work when</font></font><br />
<font size="2"><font face="Arial">standard practices are not in place. Different people doing similar work in a very different manner will</font></font><br />
<font size="2"><font face="Arial">often yield different results.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">HME providers have many processes that can benefit from a robust work standardization approach</font></font><br />
<font size="2"><font face="Arial">including intake, billing and reimbursement, documentation, and distribution, to name a few.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">One way of creating standardized work is through the use of a checklist. A checklist is a tool that can be</font></font><br />
<font size="2"><font face="Arial">used to help guide staff in their daily work. A checklist typically includes all of the key requirements and</font></font><br />
<font size="2"><font face="Arial">tasks that must be completed in order to successfully complete work within a process. A checklist can</font></font><br />
<font size="2"><font face="Arial">help to ensure work is complete and accurate before it is sent on to the next step or next process. An</font></font><br />
<font size="2"><font face="Arial">ideal location to for a checklist is in the intake area. A checklist should briefly list all of the main process</font></font><br />
<font size="2"><font face="Arial">steps or tasks that are required to turn that referral into a successful claim.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial">There are many upfront tasks that must be completed upon initial intake – from the gathering of basic</font></font><br />
<font size="2"><font face="Arial">demographics to insurance information. Many providers have less than solid standard procedures and</font></font><br />
<font size="2"><font face="Arial">work practices in place. Getting it right in the front-end the first time can save costly rework on the backend</font></font><br />
<font size="2"><font face="Arial">of the operation.</font></font></div> <br />
<div align="left"><font size="2"><font face="Arial"><u>Tips for Increasing Standardization</u>:</font></font></div> <br />
</font></font><font face="SymbolMT">• </font><font face="Arial"><font size="2"><font face="Arial"><font size="2">Role clarification – make sure everyone within the work area understands his or her role, who does </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">what, when, and how they should do it</font></font></font></font><br />
 <br />
<div align="left"><font face="SymbolMT">• </font><font face="Arial"><font size="2"><font face="Arial"><font size="2">Performance standards – ensure relevant performance standards are in place that reflect core </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">process requirements</font></font></font></font></div> <br />
<div align="left"><font face="SymbolMT">• </font><font face="Arial"><font size="2"><font face="Arial"><font size="2">Draw a diagram or a “blue print” of the workflow for a specific area- for example, draw a process flow </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">chart of the intake area that identifies how work flows through the intake process and briefly describe </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">what happens at each step within the process – this is a good way to help others “visualize” the </font></font><font size="2"><font face="Arial">workflow because it is a simplified visual explanation that is more powerful than a descriptive </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">narrative of the process</font></font></font></font></div> <br />
<div align="left"><font face="SymbolMT">• </font><font face="Arial"><font size="2"><font face="Arial"><font size="2">Implement checklists that list key process steps (in sequence) that must be completed before the </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">work is passed along to the next step – for example, in an intake area, list each step that occurs from </font></font></font></font><br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">the moment the phone or fax rings and describe what must take place at each main step</font></font></font></font></div> <br />
<font face="SymbolMT">• </font><font face="Arial"><font size="2"><font face="Arial"><font size="2">Continually assess first-time-quality - which is a measure of how often work moves through key pr</font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">ocess steps and does not require rework – for example, measure the number of complete and </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">accurate initial intake forms</font></font></font></font><br />
 <br />
<div align="left"><font face="SymbolMT">• </font><font face="Arial"><font size="2"><font face="Arial"><font size="2">Make sure clearly written procedures are in place – are they updated to reflect changing processes </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">and are they consistently reinforced with the staff?</font></font></font></font></div> <br />
<div align="left"><font face="SymbolMT">• </font><font face="Arial"><font size="2"><font face="Arial"><font size="2">Don’t assume standardization won’t apply to certain areas- although an intake and billing work </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">process may vary based on payer-specific requirements, generally, you can standardize more than </font></font></font></font><font size="2"><font face="Arial"><font size="2"><font face="Arial">you realize</font></font></font></font></div> <br />
<div align="left"><font size="2"><font face="Arial"><font size="2"><font face="Arial">Implementing standard work practices can help to reduce variation in process results. Typical forms of </font></font><font size="2"><font face="Arial">process variation in an HME operation include missing information at intake, incomplete CMNs,</font></font></font></font><br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">incomplete prescriptions, and missing insurance information – all of which lead to delayed and/or rejected </font></font><font size="2"><font face="Arial">claims.</font></font></font></font><br />
 <br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">Providers that implement more robust standard work practices will help to formalize the informal and</font></font><br />
<font size="2"><font face="Arial">create an environment where people approach similar work in a more planned, and pre-defined manner.</font></font><br />
<font size="2"><font face="Arial">Most people know what to do in their work area. The key is to get the people who are doing the same </font></font><font size="2"><font face="Arial">type of work to carry out that work in a more similar manner. Work standardization can help to optimize </font></font><font size="2"><font face="Arial">workflow, reduce errors, and increase process consistency.</font></font></font></font></div><font size="2"><font face="Arial"><br />
 <br />
</font></font><br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">Contact Chris Calderone at </font></font></font></font><font face="Arial"><font size="2"><font color="#0000ff"><font face="Arial"><font size="2"><font color="#0000ff"><font face="Arial"><font size="2"><font color="#0000ff"><a href="mailto:chrisc@leanhomecare.com">chrisc@leanhomecare.com</a> </font></font></font></font></font></font></font></font></font><font face="Arial"><font size="2"><font face="Arial"><font size="2">or at 734-709-5487 with questions or comments</font></font></font></font><br />
 <br />
<div align="left"><font size="2"><font face="Arial"><font size="2"><font face="Arial">about this article</font></font></font></font></div> <br />
<div align="left"><font size="2"><font face="Arial"><font size="2"><font face="Arial">©Copyright 2008 The Lean Homecare Consulting Group, LLC</font></font></font></font></div> <br />
<font size="2"><font face="Arial"><font size="2"><font face="Arial">© Copyright 2008 Lean Homecare Consulting Group, LLC </font></font><br />
</font></font><div align="left"><font face="Arial"><font size="2"><font color="#0000ff"><font face="Arial"><font size="2"><font color="#0000ff"><font face="Arial"><font size="2"><font color="#0000ff">www.leanhomecare.com</font></font></font></font></font></font></font></font></font></div></div>

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			<dc:creator>ChrisCalderone</dc:creator>
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			<title>Accreditation Equipment Follow Ups</title>
			<link>http://www.hmetalk.com/forum/blogs/admin/1-accreditation-equipment-follow-ups.html</link>
			<pubDate>Thu, 29 Oct 2009 20:03:52 GMT</pubDate>
			<description>You are not required to continue follow-up or provide routine maintenance 
after the equipment is converted to purchase. 
  
However, you are...</description>
			<content:encoded><![CDATA[<div><font size="2">You are not required to continue follow-up or provide routine maintenance</font><br />
<font size="2">after the equipment is converted to purchase.</font><br />
 <br />
<font size="2">However, you are required to provide the patient with maintenance and</font><br />
<font size="2">warranty information at the time of the conversion to purchase. You should</font><br />
<font size="2">document that this has been done, and keep proof that you had provided this</font><br />
<font size="2">information in the patient file (whether electronic or paper).</font><br />
 <br />
<font size="2">We provide our DME clients with a form to use for this purpose, and advise</font><br />
<font size="2">them to mail it to the patient with the required warranty and maintenance</font><br />
<font size="2">information, and keep a copy of the form with a “mailed” date stamp on it, in</font><br />
<font size="2">the patient file.</font><br />
<br />
<font size="2">While you may have had another payer in mind when asking your question, it</font><br />
<font size="2">is worth keeping in mind that this is one of the few products where Medicare</font><br />
<font size="2">actually still allows the patient to make a purchase or continue to rent</font><br />
<font size="2">decision at the 10th month. If the patient elects to continue to rent you</font><br />
<font size="2">would bill until the 15th month, then bill maintenance with the MS modifier</font><br />
<font size="2">every 6 months. In that case, you would be required to show that the pump</font><br />
<font size="2">had its required 12 month maintenance completed very year (again, I would</font><br />
<font size="2">document this in the patient record, either paper, or electronically — most</font><br />
<font size="2">DME software systems have a place to record this in the electronic record –</font><br />
<font size="2">attached to the serial number record of the device).</font><br />
<br />
<font size="2">Also keep in mind, in the above scenario, most pump manufacturers will rent</font><br />
<font size="2">their pumps to the DME (for a very low cost if you buy their tubing and</font><br />
<font size="2">supplies). In those instances, they will also complete the maintenance. Just</font><br />
<font size="2">switch out the pump with a newly maintained pump, and send the pump that</font><br />
<font size="2">is due for maintenance back to the manufacturer for re-furb, etc. Keep the</font><br />
<font size="2">documentation from the manufacturer showing the pump had its maintenance</font><br />
<font size="2">when it was due (so that you have the documentation for the next patient</font><br />
<font size="2">that gets that pump), or simply record the maintenance in the serial number</font><br />
<font size="2">record of your computer system, as noted above.</font><br />
 <br />
 <br />
<font size="2">Best,</font><br />
<font size="2">Roberta Domos, RRT</font><br />
<font size="2"><a href="https://mail.cprplus.com/owa/redir.aspx?C=784a1cbbf81945b09466d260873052f1&amp;URL=http%3a%2f%2fhmeconsulting.com" target="_blank">http://hmeconsulting.com</a></font><br />
<font size="2">Phone: 425-882-2035</font><br />
<font size="2">Fax: 425-636-8208</font></div>

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