Blog/Press
Explore Our Blog
Incontinence supplies, including diapers, liners, and underpads, are essential for many individuals who require assistance managing bladder and bowel control issues. Billing these supplies to Medicaid involves understanding the correct procedures, documentation, and coding requirements. This blog post will provide a detailed overview of the billing process, required documentation, and a list of HCPCS codes […]

Here are the key points from the update: Effective and Implementation Dates: The updates are effective and to be implemented on July 1, 2024, except for HCPCS codes E2298 and K1007, which were effective April 1, 2024. Purpose of the Update: The update aims to implement fee schedule amounts for new and existing codes and […]

Updates And Effective Dates: Effective January 1, 2024, for 3 orthotic brace determinations. Effective April 1, 2024, for all other items, equipment, and devices. Implementation Date: July 15, 2024. Manual Changes: The document specifies updates to Pub. 100-02, Chapter 15, Section 110.8 regarding DMEPOS Benefit Category Determinations. Funding For MACs: Medicare Administrative Contractors (MACs) are […]

Summary of Changes: Purpose: Update the denial liability for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) claims that overlap inpatient hospital stays from patient responsibility to contractual obligation. Effective Date: July 1, 2024. Implementation Date: July 1, 2024. Manual Instructions: There are no changes in the manual instructions for this CR. Funding: This CR […]

Effective And Implementation Dates: The updates are effective and to be implemented on July 1, 2024, except for HCPCS codes E2298 and K1007, which were effective April 1, 2024. Purpose of the Update: The update aims to implement fee schedule amounts for new and existing codes and apply changes in payment policies. The update process […]

Overview: Title: Update to Pub. 100-04 Medicare Claims Processing Manual, Chapter 23, Section 60.3 Gap-filling DMEPOS Fees Transmittal Number: 12645 Date: May 16, 2024 Change Request Number: 13617 Effective Date: June 17, 2024 Implementation Date: June 17, 2024 Summary: This transmittal updates the Medicare Claims Processing Manual to include new update factors for gap-filling purposes. […]
