Reimbursement: Understand New Flexibility

Q.  Can I apply the same new guidance for PAP masks to other accessories? A. In February 2024, the DME MACs published a Dear Physician Letter (DPL) clarifying Medicare’s stance of masks for PAP and RAD devices. The DPL specifically addressed the PAP and RAD device masks, but does the same flexibility apply to other…

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Reimbursement: Document Qualifying Test Result

Q. What do I need to document in the medical record to meet current oxygen policy requirements? A. The current oxygen policy requires the practitioner to order and evaluate the results of a qualifying blood gas study performed at the time of need. I believe this requirement stems from the national coverage determination (NCD) but Medicare…

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Creating a Culture of Compliance: 3 Takeaways for HME Providers

Too often, home medical equipment (HME) companies focus on compliance once a year, via an all-staff, all-day meeting in the conference room. But is highlighting compliance in that limited way truly enough, given its importance? Noel Neil, the chief compliance officer at ACU-Serve, doesn’t think that approach delivers the best outcomes. He discussed his experiences…

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