DMEPOS Enrollment Moratorium: Compliance Risks for O&P Providers
Effective February 27, CMS instituted the DMEPOS enrollment moratorium to manage reports of fraud and abuse within that system. The...
The Power of Compliant Documentation
In today’s increasingly complex reimbursement environment, compliant documentation is no longer just a best practice; it is a business imperative....
Why a Strong Intake Process Is the Backbone of O&P Success
In O&P, the intake process is far more than just collecting patient demographics—it’s the cornerstone of compliance, accurate billing, and...
Prosthetic Supplies: Compliant Refill Documentation
As a supply item, Medicare and many other payers have defined refill requirements that must be followed when providing the...
Medicare Enrollment Oversights: The Risks Associated With Outdated Enrollment
Many billers and administrative staff are well versed in claim denials related to things like missing or inappropriate modifiers, medical...
Clinical Documentation: The Rise of Templated Evaluations and AI
Time is a fleeting commodity, stretched thin between our work and personal lives. The lack of time has caused some...
Compliance Is Key to PDAC Coding Verifications
Medicare Pricing Data Analysis and Coding (PDAC) verification rules are often misunderstood, specifically when it pertains to coding and documentation....
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