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audits

In brief: Not so fast CBIC, OIG on vents, reviews expanded

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09/25/2020

WASHINGTON – The CBIC recently sent a message indicating that Round 2021 “contract offers and disqualification information would soon be provided” in Connexion, but they did it without clearing it with CMS, according to AAHomecare.

CGS adds ostomy supplies, diabetic shoes to reviews

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09/23/2020

NASHVILLE, Tenn. – CGS has announced two more widespread post-pay, service-specific reviews for ostomy supplies and therapeutic shoes/inserts.

In brief: Audits pile up, M&A heats up, Masimo sues Apple

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09/18/2020

WASHINGTON - CGS, the DME MAC for jurisdictions B and C, will be conducting complex post-pay reviews for surgical dressings and knee orthoses, according to AAHomecare.

Audits start to pile up

Dressings, orthotics, urological supplies, CGMs all under review
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09/15/2020

WASHINGTON - CGS, the DME MAC for jurisdictions B and C, will be conducting complex post-pay reviews for surgical dressings and knee orthoses, according to AAHomecare.

Depending on the contractor, audits are very much up and running

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09/04/2020

COLUMBIA, S.C. – Audits have started to pop up in a number of places, including more recently, from the SMRC, says Andrea Stark.

RAC notifies providers of reviews

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08/21/2020

WASHINGTON – Performant, Medicare’s RAC, has notified providers by letter that, per authorization from CMS, it will resume certain medical review activities, according to the van Halem Group.

OMHA expands eligibility for settlements

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08/13/2020

WASHINGTON – The Office of Medicare Hearings and Appeals has extended the eligibility requirements to participate in a Settlement Conference Facilitation

CGS announces reviews for back braces, test strips

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08/13/2020

ATLANTA – CGS has announced that the Jurisdiction B medical review department will begin complex post-pay service-specific reviews on back braces and lithium batteries for glucose monitors, according to the van Halem Group.

Post-pay reviews get start date

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08/07/2020

WASHINGTON – The DME MACs will resume medical reviews Aug. 17, according to a bulletin from CMS.

A new, but temporary, era in audits

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07/24/2020

WASHINGTON – Industry stakeholders now have a better idea of CMS’s plans for restarting program integrity activities on Aug. 3, but they still have questions, like what product categories will get audited.

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