White Paper: Rediscovering Value with BFLOW – A Customer’s Journey to Optimized Revenue Cycle Management

White Paper: Rediscovering Value with BFLOW – A Customer’s Journey to Optimized Revenue Cycle Management Executive Summary In the competitive landscape of the Durable Medical Equipment (DME) and Home Medical Equipment (HME) industry, selecting the right revenue cycle management (RCM) platform is crucial for operational efficiency and growth. This white paper explores the journey of […]

Medicare Part D Vaccines

Navigating Medicare Part D Vaccines: A Comprehensive Guide for Providers Medicare Part D provides essential coverage for a wide range of vaccines, crucial for preventing illnesses in the Medicare population. Understanding the distinctions between what Medicare Part D and Part B cover, as well as how to properly bill for vaccines under Part D, is […]

Cardiac Device Credits Medicare Billing

In the realm of healthcare, the correct billing of cardiac device credits under Medicare is crucial for ensuring compliance and avoiding overpayments. These credits often arise when a cardiac device, such as an implantable defibrillator or pacemaker, is replaced due to a defect, recall, or other issues covered under a manufacturer’s warranty. Understanding the billing […]

Understanding Medicare & Medicaid for Dually Eligible Beneficiaries

Dually eligible beneficiaries are individuals who qualify for both Medicare and Medicaid, making them eligible for a broad range of healthcare services. These beneficiaries typically have limited income and resources, qualifying them for additional support to cover healthcare costs that Medicare does not fully pay. Here’s a detailed guide to understanding the benefits, billing practices, […]

Separate Payment for Disposable Negative Pressure Wound Therapy Devices

Starting January 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will implement a significant change under Change Request (CR) 13244, which introduces separate payments for Disposable Negative Pressure Wound Therapy (dNPWT) devices under the Home Health Prospective Payment System (HH PPS). This update marks an important shift in how these devices are billed […]

Refining Home Health Payment Reductions for Quality Data Submission

The Centers for Medicare & Medicaid Services (CMS) has issued an important update through Change Request (CR) 13241, which becomes effective on January 1, 2023. This update is designed to enhance the accuracy and efficiency of payment processes for Home Health Agencies (HHAs) that do not submit the required quality data. The update fully replaces […]

CMS Update: Key Changes in Home Health Claims Processing Effective January 1, 2024

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 […]

Discover BFLOW RCM Services: Elevate Your Revenue Cycle Management

We are excited to introduce BFLOW RCM Services, designed to elevate your revenue cycle management to new heights. Our comprehensive services are tailored to streamline your billing processes, optimize revenue management, and enhance operational efficiency for HME (Home Medical Equipment) businesses and DME (Durable Medical Equipment) operators. Why Choose BFLOW RCM Services? Streamlined Billing Processes: […]

Summary of Changes: 2024 DMEPOS Fee Schedule Update

DMEPOS Fee Schedule Update

Effective Date: January 1, 2024 Implementation Date: January 2, 2024 Purpose: Annual update to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule. This includes new and existing codes and changes in payment policies as detailed in the Medicare Claims Processing Manual, Chapter 23, Section 60. Key Updates: New Payment Amounts: Implemented for […]