Noel Neil

Three years after implementation of the Lymphedema Treatment Act, the reimbursement landscape continues to evolve and so do the opportunities and risks for DMEPOS suppliers.

This session will provide a comprehensive "state of the industry" update on lymphedema compression reimbursement, combining policy, compliance, operations, and business strategy into one practical program. Attendees will receive the latest information on Medicare fee-for-service implementation, Medicare Advantage adoption, Medicaid and commercial payer trends, reimbursement developments, coding updates, and supplier participation across the country.

This presentation brings together two nationally recognized perspectives. Carmen Anderson will review the latest reimbursement, HCPCS coding, coverage policy, and payer developments, while Noel Neil will provide practical compliance guidance drawn from supplier operations, documentation standards, audit preparedness, and regulatory expectations.

The session will also include an update on Medicare program integrity initiatives affecting DME suppliers, including Targeted Probe and Educate (TPE), Comprehensive Error Rate Testing (CERT) findings, and other CMS publications or regulatory developments released prior to the conference. Real-world supplier experiences, common claim deficiencies, and practical strategies for reducing audit risk while improving operational efficiency will be discussed.

Whether you are launching a lymphedema compression program or refining an established operation, attendees will leave with actionable tools to strengthen compliance, improve reimbursement understanding, anticipate future policy changes, and confidently navigate the next phase of the Lymphedema Treatment Act.

Presented by: ACU-Serve

Advance Billing and Payer Workshop

This session offers a comprehensive examination of critical challenges within billing, collections, compliance, audit processes and how to work with payers to resolve the issues. Attendees will gain insights into common operational pain points and receive actionable guidance for effectively addressing these issues. The presentation will feature interactive discussions and real-world case studies to enhance engagement and practical understanding.

Key Topics of Discussion

Billing and Collections

Emphasis will be placed on the creation of clean claims that align with payer-specific billing guidelines, including the correct use of modifiers, narratives, span dates, and other critical elements. The variability among payers will be addressed. 

Payer Contract Negotiations

A review of critical contract provisions that will impact future billing and collections activities.  Learn how to negotiate favorable terms and identify potential challenges based on language in your payer agreements. 

Key Data Elements

Using dashboards with key data elements in tracking the payer’s performance include volume, accounts receivable and denial information, trended over time.  Learn the standard data elements that your organization should be prepared to provide when working with payers on A/R or audit issues. 

Payer Relations and Billing

How to build relationships with payers and when to ask for assistance with claim issues. 
The session will explore best practices for achieving and maintaining an effective line of communication with payer partners. 

Compliance and Audit

A review of Medicare and payer’s third-party auditing companies that frequently audit DME services will be conducted, highlighting the most frequent violations and offering practical approaches to mitigate risk.
 

Subject matter experts will present essential performance metrics across each operational area, equipping suppliers with the tools to monitor organizational health and drive continuous improvement. Participants will leave the session informed, confident, and empowered to implement best practices within their respective organizations.