The Centers for Medicare & Medicaid Services (CMS) has issued an important update, Change Request (CR) 13225, set to take effect on January 1, 2024. This update aims to enhance the accuracy and efficiency of processing home health (HH) claims. Here’s what you need to know: Removal of the Edit Bypass for Condition Code DR
The Centers for Medicare & Medicaid Services (CMS) has issued a new Change Request (CR) 13225, effective January 1, 2024, aimed at refining the processing of home health (HH) claims. This update focuses on improving the accuracy and efficiency of claims reporting condition code DR and handling admission source edits. Key Changes: Removal of Edit
Understanding the Competitive Bidding Program for Durable Medical Equipment (DME) The Competitive Bidding Program (CBP) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) is designed to improve the efficiency of Medicare payments for DME and ensure that beneficiaries have access to quality medical equipment at lower costs. The program encourages suppliers to submit
Reimbursement Changes Medicare Reimbursement Rate Adjustments: Background: Medicare periodically adjusts reimbursement rates for DME based on market data and competitive bidding outcomes. Recent Changes: Rates have been adjusted to reflect the savings achieved through competitive bidding, with reductions in payment rates for many items. Impact: Lower reimbursement rates can challenge the profitability of DME
Intake patients, create claims, deliver with BFLOW Mobile, bill over 4,000 insurance plans in one simplified DME billing software.
Manage patients, create orders, add inventory and more.