News
The Right Type of Template Can Help - October 01 2015
CMS endorses electronic templates that enable practitioners to address all the data points pertaining to prescribing a power mobility device, and allows for narrative descriptions that support medical necessity.
No Documentation = No Delivery! - August 14 2015
A DME referral is as only good at the documentation that supports it.
PA Demo for PMD extended through August 2018 - July 15 2015
Announced July 15, 2015, the Prior Authorization of Power Mobility Devices (PMDs) Demonstration has been extended for three years. The demonstration will now end on August 31, 2018 for all 19 states. The original demonstration requirements remain the same for all states.
Best practices for educating referral sources on the FTF documentation requirements - June 30 2015
Not only is the role of the DME provider to deliver equipment and aid in a better quality of living, it is also to educate the treating practitioners regarding Medicare and other insurance guidelines for power mobility. DME providers should turn education into an opportunity to increase referrals.
Compliance is not science, it's a choice - May 29 2015
How are providers dealing with the ACA 6407 office visit/face-to-face requirements and why are some not worried about complying?
Providers and Physicians Gravitate to Technology - May 20 2015
The plight to obtain accurate documentation from physicians has been burdensome for providers and frequently described as the ping-pong effect. Historically paperwork goes back and forth between the two entities several times before it is complete. The prior authorization demonstration for power mobility devices prompted a sense of urgency for physicians and providers to work together to ensure that medical necessity is accurately identified and documented the first time. “Doc fix” bill, HR 2 “The Medicare Access and CHIP Re-authorization Act of 2015” (“MACRA”) that was signed into law on April 16, 2015, now permits not only the physician but also a nurse practitioner, physician assistant or clinical nurse specialist to conduct and document a Face-to-Face encounter with a patient during the 6-month period before an Order is written for the DME.
Take Advantage of Enforcement of the Face-to-Face Rule for DME - May 15 2015
“Doc fix” bill, HR 2 “The Medicare Access and CHIP Re-authorization Act of 2015” (“MACRA”) was signed into law on April 16, 2015. This “final fix” legislation now permits not only the physician but also a nurse practitioner, physician assistant or clinical nurse specialist to conduct and document a Face-to-Face encounter with a patient during the 6-month period before an Order is written for the DME. MACRA revises the requirement that a physician sign and date those Face-to-Face Notes that a nurse practitioner, physician assistant or clinical nurse specialist generated while conducting the Face-to-Face encounter (as allowed by state law).
Why have PMD referrals from physicians declined? - April 30 2015
Many physicians – as many as 60 percent nationwide - have stopped referring PMD because of limited understanding about PMD documentation, lack of time and low reimbursement.
Spring in to Action with Education! - April 03 2015
Catch the Spring fever! Show your doctors how to complete accurate face-to-face documentation the first time.
Success is in the Details - March 17 2015
What have we learned from the seven original prior authorization states that we can apply to the 12 new expansion states?
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