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PECOS NPI Updates Complete, Rejections Expected to Decline

Posted 01-18-2010 at 01:49 PM by AndreaStark

By: Andrea Stark, DME Consultant and Reimbursement Specialist - MiraVista, LLC

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.

Many physicians were added to PECOS prior to May 2008,...
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Top 7 Things to Do at Intake to Avoid Getting Taken

Posted 01-13-2010 at 01:05 PM by hmetalk-blog
Updated 02-05-2010 at 04:17 PM by hmetalk-blog



From Rocket Science to Quantum Physics – A Simple Guide to DME Billing

Article 1: Top 7 Things to Do at Intake to Avoid Getting Taken

1. Use your Software.
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...
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Old

Bill to Eliminate Competitive Bidding Gains Sponsors

Posted 01-06-2010 at 03:51 PM by AndreaStark
Updated 01-06-2010 at 03:54 PM by AndreaStark

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 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.

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...
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CMS Changes Mind - Billing NOT Retroactive for Voluntary Termination

Posted 01-06-2010 at 03:37 PM by AndreaStark
Updated 01-06-2010 at 03:55 PM by AndreaStark

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.

However, CMS recently threw a...
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Old

Thinking Lean: The Power of Standardized Work Practices

Posted 01-06-2010 at 07:58 AM by ChrisCalderone
Updated 01-06-2010 at 04:06 PM by ChrisCalderone

Thinking Lean: The Power of Standardized Work Practices

By Chris Calderone, MA, MBA

Standardized work practices have long been in place in many manufacturing businesses. The standard
work practice concept is a part of the lean thinking approach to process improvement. Lean thinking is a
quality focused concept that concentrates improvement initiatives within the workflow in an effort to
identify and drive out waste and variability within processes. One
...
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