News & Information

It is apparent as the healthcare changes so does Managed Care contracts.  You need to be more aware, they are more complex than ever and can be confusing, take heed as you enter into a new contract as a participating provider.  Below are just a few issues to be sensitive to and is in no way inclusive of everything you need to be aware of.

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Coverage for any DMEPOS items will be considered if the place of service is:

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We are very excited about not only the look and feel of this site, but more importantly, the increased user experience. With all the changes happening in our industry, we are all very busy and we need to be able to find reliable information and answers in order to meet the demands on our time. As part of our commitment to provide excellence in reimbursement information, this new website makes it easier for our customers to find the reimbursement information they need through improved searching and a user defined experience.

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Most of us have seen the news reports on problems of veterans seeking healthcare benefits through the Department of Veterans Affairs. Several factors such as the misuse of funds and controversial bonus systems seem to have combined to create this current newsworthy crisis. Critics argue that the VA's performance bonus system created financial incentives for managers to hide the true number of patient's on their waiting lists. Whistleblower claims are backing up this argument. The fact that many veterans have died while on waiting lists has fueled this crisis.

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Effective  July 1, 2014 two new HCPCS codes have been created for reporting certain drugs and biologicals and they are effective for services furnished on or after July 1, 2014.

Q9970 - Injection, Ferric Carboxymaltose, 1mg

Q9974 - Injection, Morphine Sulfate, Preservative-Free or Epidural Or Intrathecal Use, 10 mg

 

References:

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