Background The rapid spread of COVID-19 has altered how healthcare systems deliver care. To reduce staff exposure to sick patients[…]
Read moreCategory: Coding & Billing
Track Wound Care Coding and Billing Guidelines that are Being Implemented Now!
Novitas Solutions Inc., the Medicare Administrative Contractor (MAC) A and B contractor for regions J-H and J-L on 06/25/2020 revised[…]
Read moreCMS Announces Billing Guidelines for Prosthetic Feet, Lower Limb Extremity Prostheses-Knee-Shin Prosthesis
Billing codes and guidelines are dynamic and should be tracked every year. For Medicare claims, the Centers for Medicare and[…]
Read moreReimbursement Myths: Clients see the Light when GIRS Debunks Four Common Coding Myths
Case Study 1: DME Client Develops a Successful Solution for a Reassigned Product Code GIRS submitted a coding verification for[…]
Read moreGIRS Successfully Implemented a Multi-Faceted Approach for Medical Policy Coverage of a Device
The manufacturer of a breakthrough medical device who is a long-term GIRS client needed assistance obtaining favorable coverage and reimbursement[…]
Read morePayer Advocacy Efforts Enabled Improved Patient Access to a Breakthrough Medical Device for Potentially 3.7 Million Patients in the Mid-South
The GIRS Payer Advocacy® (PAC) team began working with a key payer in February 2018 for coverage and payment information[…]
Read moreThe GIRS Value Discovery Landscape Assessments® Lays the Foundation for Market Access for a Unique Product
A manufacturer with a unique product that appeared to be a drug-device partnered with the GIRS Value Discovery Landscape Assessments®[…]
Read moreMedicare Part B Policy Change for Discarded Drugs and Biologics for 2017
In addition to paying for the amount of drug that has been administered to a Medicare patient/beneficiary, Medicare Part[…]
Read moreGIRS Educates Clients about Coding Changes and Reimbursement for Pneumatic Compression Devices
The original article “Correct Coding for Pneumatic Compression Devices” was published in August 2010. The Durable Medical Equipment Pricing Data[…]
Read moreGIRS Provides Road Maps of Successful Marketing and Reimbursement Strategies
GIRS Provides Road Maps of Successful Marketing and Reimbursement Strategies… Recently GIRS completed several Landscape Assessments to help our clients[…]
Read more