The industry has fought back and won again, relief starting for rural care reimbursement rates goes into effect June 1st, 2018. This comes as a victory for citizens across the US in hardworking rural & non-contiguous areas, as their access to life sustaining healthcare & equipment has been unburdened. What this means for Providers: rates are reverting to pre-CBA rates for 6/1/2018 -...

      In a recently published MLN Matters, CMS releases info that they will be no longer requiring the KH modifier on purchased capped rental items & para/enteral services as of October 2018. This is indicated in CR10422. Does that mean they would expect only an 'RR' the first rental month, but still use KI's & KJ's in subsequent months? Stay tuned as we clarify and...

    REVENUE CYCLE MANAGEMENT HITS HME Providers are taking a "from the ground, up" approach to how they manage their revenues. What's the right strategy? What tools can help? Click to read more!    

A joint DME MAC article was shared yesterday, regarding a required modifier change for all Oxygen billing. WHAT YOU NEED TO KNOW: effective for Dates of Service 8/01/18 or after, it is mandatory that you bill oxygen with a KX if you are not using one of these others: GA GY or GZ. Claims will reject without. EASIEST WAY TO MAKE THIS HAPPEN IN HDMS: Add modifiers to O2 CMNs. To identify them...

This u-alert was emailed directly to all Vantiv/Element clients on 4/24/18 by Universal:    

Hey Michigan Providers, just wanted to make sure all of you saw this and knew where to look in HDMS! (see screenshot & summary below) BCBSM released the following: _______ From: EDI/Customer Management <EDICustMgmt@bcbsm.com> Sent: Thursday, April 26, 2018 2:12 PM Subject: Reminder: EDI Professional Commercial Payer List - Updated payer IDs effective April 23, 2018   To: BCBSM...

Shared by our DAC Region D chair, we see that CGS who is the DME MAC Contractor for Regions B & C offers billing instruction for Providers struggling with the new Medicare Oxygen Modifier topic. Our partners at DACD expect that Noridian will also release a clarification soon. NOTE: the change we see is that DME MACs have rescinded direction formerly give to Providers to advise that...

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Today Danielle Crane, our resident specialty pharm expert, took us through the easy to use workflow to send or received electronic prescriptions in HDMS! Availablefor Pharmacy NewRX, RefillRequest, RXChange, CancelRX! View Presentation Materials: HDMS eScripts If you would like to request a private demo of this feature, or any other Pharmacy workflows please contact Danielle Crane:...