Transitioning from Billing Assigned to Billing Nonassigned – Part 1

February 26, 2022
AMARILLO, TX – The DME industry has been in existence since the 1970s. The industry primarily serves the elderly, meaning that DME suppliers have largely been dependent on Medicare. DME suppliers have primarily billed Medicare on an assignment

Congress Must Extend CRT Telehealth Option

February 19, 2022
ROCHESTER, N.Y. – Thankfully the country is beginning to work its way out of the hold of the COVID-19 pandemic. For the nation’s healthcare system, a significant step in this process will be the ending of the current Public Health Emergency (

Compliance Issues: A Cliff Note Summary

February 19, 2022
AMARILLO, TX – DME suppliers live in the proverbial glass house. Their actions are observed by governmental agencies, CMS contractors, third party payors, and the DME suppliers’ employees. It is important that suppliers recognize key complian

CMS Issues Home Oxygen Guidance to DME MACs

February 18, 2022
WASHINGTON, DC – CMS has published guidance to the DME MACs on the revisions made to the National Coverage Determination (NCD) for Home Use of Oxygen (240.2) and removal of Home Oxygen Use for Cluster Headache (240.2.2). The guidance, Change Re

RAC Audits – A Win For DMEPOS

February 11, 2022
WASHINGTON, DC – Beginning April 1, the Recovery Audit Contractor (RAC) will limit additional documentation requests (ADRs) based on the number of paid Medicare claims by product category. Currently, the RAC’s methodology is based on a total

Game On: HR 6641 Introduced

February 11, 2022
WASHINGTON, DC – Reps. Markwayne Mullin (R-Okla) and Paul Tonko (D-N.Y.) have formally introduced HR 6641, the DMEPOS Relief Act of 2022. The new legislation applies a 90/10 blended Medicare reimbursement rate for items in the 13 product catego