Novitas Solutions Inc., the Medicare Administrative Contractor (MAC) A and B contractor for regions J-H and J-L on 06/25/2020 revised[…]
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Latest Posts
DOJ Continues to Increase False Claims Act Penalties – What is the Implication for #Medtech?
In FY 2019, the Department of Justice (DOJ) recovered over $3 billion in judgments and settlements from civil cases involving[…]
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July 2020 Update of the Ambulatory Surgical Center (ASC) Payment System – What is the Implication for #Medtech?
The Centers for Medicare & Medicaid Services (CMS) published the Ambulatory Surgical Center (ASC) Payment System July 2020 payment rates[…]
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The Expansion of Telehealth Provides #Medtech Reimbursement Opportunities
Background The rapid spread of COVID-19 has altered how healthcare systems deliver care. To reduce staff exposure to sick patients[…]
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4.7 Million Could Become Eligible for Medicaid – What Does that Mean for Market Access?
Recent data released by the Kaiser Family Foundation (KFF) points to continued Medicaid payer market expansion. There also is the[…]
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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[…]
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Washington State Health Care Authority to Make Final Coverage Determinations on Three Recent Technology Assessments
The Washington State Health Technology Clinical Committee (HTCC) determines how selected health technologies are covered by several state agencies (RCW[…]
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CMS 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[…]
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Reimbursement 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[…]
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GIRS Helps Durable Medical Equipment Client Multiply Access to Payers
Traditional Fee -for-Service Medicaid was not covering and paying appropriately for our client’s Product. Our client, a long-term Durable Medical[…]
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