Category: Ronda Buhrmester

Great News: Mass Adjustment Payments are Starting!

By Ronda Buhrmester and Dan Fedor, VGM Reimbursement Specialists We are hearing from DME providers that they are starting to receive payments from both DME MACS Noridian and CGS. Noridian’s dashboard is reporting 6.1 percent of Jurisdiction D has been completed as of July 5. Jurisdiction A has completed 11.4 percent of their adjusted claims …

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C2C Innovation Solutions Gives Suppliers a Bigger Voice in Defending Claims

By: Ronda Buhrmester, Reimbursement Specialist, VGM & Associates At the Medtrade Spring Jurisdiction D council meeting, C2C Innovative Solutions, Qualified Independent Contractor (QIC), introduced a two-phase demonstration to give select suppliers an enhanced opportunity to provide critical feedback and increased analysis of denied claims. Currently there is a demonstration project that consists of two phases …

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Separate Benefit Category for Complex Rehab Technology

Good news for the Separate Benefit Category for Complex Rehab Technology! At their recent annual Public Policy Conference in Washington, DC the National Multiple Sclerosis Society adopted passage of the “Ensuring Access to Quality Complex Rehabilitation Technology Act” as one of their federal legislative priorities for 2014. The audience included over 300 MS activists from across …

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Jurisdiction B DME MAC Update: RAC E1028 Appeals

At the Jurisdiction B Council meeting held in January 2014, a RAC issue with HCPCS code E1028, was discussed and the following update was provided to the Region B Council.  Tim Fickle, with NGS Medicare contractor for Jurisdiction B, spoke with the Recovery Auditor (RA) regarding the E1028 appeal concern that was discussed during the …

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