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CPAP denials done in error, UnitedHealthcare says


MINNEAPOLIS, Minn. – Recent confusion about whether or not UnitedHealthcare would pay for certain CPAP supplies was the result of a systems error, says the payer.

Claim denials in error, says UnitedHealthcare

Stakeholders had sought clarification from the payer in response to provider concerns

Editor's note: This story has been updated.

MINNEAPOLIS, Minn. – Recent confusion about whether UnitedHealthcare would pay for certain CPAP supplies was the result of a systems error, says the payer.

ResMed launches brand-agnostic resupply program


SAN DIEGO – ResMed has launched ResMed ReSupply for all U.S. HME providers to increase adherence and improve patient satisfaction, the company announced March 25.

SMRC adds PAP supplies to to-do list


WASHINGTON – Noridian Healthcare Solutions, the Supplemental Medical Review Contractor, has added PAP supplies to its review list. The audit is a post-payment review of claims for dates of service from Jan. 1, 2017, through Dec.

Stakeholders slam self-audits


WASHINGTON – A recent request by the DME MAC contractors for certain CPAP providers to audit themselves is setting them up to fail, say industry stakeholders.

MACs request self-audits for CPAP supplies


WASHINGTON – Certain providers of CPAP supplies have begun receiving letters from Noridian and CGS, requesting them to conduct self-audits of claims within 180 days, according to a bulletin from AAHomecare.

Billing: Prepare by self-auditing

Q. A recent OIG report discussed replacement CPAP supplies that do not comply with the Medicare guidelines. What is the correct documentation to collect?

A. Don’t take for granted the documentation requirements for refill requests. CPAP supplies fall under the non-consumable guidelines, which are more durable requiring periodic replacement.

CMS overpaid for CPAP supplies, says OIG


WASHINGTON – Most Medicare claims for CPAP supplies did not comply with Medicare requirements, according to a new report from the Office of Inspector General.

Bricks-and-mortar sleep provider takes sales online

Advanced Sleep Medicine Services launches e-commerce store, accepts both cash and insurance

ENCINO, Calif. – Getting insurers to pay for needed CPAP supplies has become such a hassle that many patients are opting to pay cash instead, says provider Kermit Newman.

CPAP Shop knows customer behavior


WEST BERLIN, N.J. – If you want to get a sense of where the CPAP market is headed, go straight to the source: the customers, says provider Tony Zadnik.