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Billing CUSTOM P&O to BCBSM?
As of September 1st, all providers billing custom prosthetics & orthotics to Blue Cross Blue Shield of Michigan will be required to submit those claims with a separate CMS accredited PIN. If you are facing this challenge or one like it, here's how we'd recommend you handle it in HDMS. STEP 1: Create a New Provider Entry Create a NEW provider for P&O in the Provider Table...
June Webinar Wrap Up: AutoPosting Exceptions
This month's free webinar was on decoding Autoposting Exceptions! In case you missed it, here are some resources: AutoPosting Exceptions AP EXCEPTIONS WEBINAR
See what Universal has to say about Revenue Cycle Management in this months issue of HME Business Magazine!
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!
Billing Oxygen to Medicare? Read me!
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...
Attn: Blue Cross of MI Providers- Claims submission impacted
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...
Understanding Medicare Oxygen changes eff April 1st!
Understanding the layers of changes being made by CMS to Oxygen Billing for Medicare Beneficiaries is no easy task. We've broken down the important changes we think you need to know below. The primary change is that all of this below is controlled by Modifiers, but we've sorted them into three topics: TOPIC 1: Changes to High & Low Supply Effective April 1st, Medicare...
Northwood adopts new policy
In the bulletin Northwood published February 5th, we see that effective February 1st they have adopted the Medicare rental equipment guidelines. They outline the common practice of requiring new Prior Authorization, Face to Face documentation, and Prescription/CMN when a patient changes from one insurance to a Northwood Policy. The last bullet point indicates that this DOES NOT AFFECT patients...
Looking forward to spring... and Medtrade Vegas 2018!
Looking forward to spring? So are we! We're getting away from the cold weather for a short trip to Vegas for Medtrade Spring 2018, an annual tradition. Check out this article where Dave Golen Sr, VP of Business Development shares his advice to HME Providers shopping for a new software solution at Medtrade Spring 2018.
Monthly Webinar Series: February Dig Deep into Denials
Join us every Third Thursday @Three for a free HDMS related webinar. This month: Dig Deep into Denials with Lisa Anderson. What are you denial responses really telling you? Let's dig into common responses and remedy them with HDMS! Click here to register.
qUick reads: The Deductible Game
CMS released their annual update to Beneficiary premium, copay, and deductible rates for 2018. Here’s what we learned: Copay continues to be 20%. 2018 Deductible amount will continue to be $183.00 a year, same as last year. NOTEWORTHY: Deductibles will be applied broken up over two months, instead of one lump sum. What does that mean for you in HDMS? Nothing changes....