Tag: Noel Neil
Reimbursement: Understand new flexibility
March 13, 2024Noel Neil
Q. Can I apply the same new guidance for PAP masks to other accessories?
A. In February 2024, the DME MACs published a Dear Physician Letter (DPL) clarifying Medicare’s stance of masks for PAP and RAD devices. The DPL specifically addressed the PAP and RAD device masks, but does the same flexibility apply to other accessories such as tubing, cushions or pillows?
The letter indicates:
In order to promote patient adherence to PAP or RAD therapy, the treating practitioner...
Reimbursement: Document qualifying test result
February 7, 2024Noel Neil
Q. What do I need to document in the medical record to meet current oxygen policy requirements?
A. The current oxygen policy requires the practitioner to order and evaluate the results of a qualifying blood gas study performed at the time of need. I believe this requirement stems from the national coverage determination (NCD) but Medicare confirmed that the practitioner does not necessarily have to document that “I personally reviewed the qualify test result.”
However,...
Reimbursement: Follow instructions closely for orthotics
January 16, 2024Noel Neil
Q. Why are my orthotics claims denying?
A. Prefabricated orthoses fall under two categories: OR02 custom fitted or OR03 off-the-shelf. There is no physical difference between the two. The differentiating factor is the adjustment needed at the time of fitting. For OTS, minimal self-adjustment by the beneficiary, caretaker or supplier is required but does not require the services of a certified orthotist. Custom fitted requires the expertise of a certified orthotist or an individual...
CDME puts ‘stamp on’ Noel Neil’s hard work
August 16, 2023Theresa Flaherty, Managing Editor
YARMOUTH, Maine – With years of experience in billing, auditing, appeals and regulatory compliance, Noel Neil, JM, CDME, says being named the 2023 Certificant of the Year by The Board of Certification/Accreditation (BOC) is validation of his hard work – and the value of certifications.
Neil, vice president of auditing and corporate compliance at ACU-Serve, spoke with HME News recently about the “humbling” honor and how, with a certification, “you’re starting...
In brief: Sign-on letter for oxygen, BOC’s Certificant of the Year
July 19, 2023HME News Staff
WASHINGTON – Reps. Terri Sewell, D-Ala., and Adrian Smith, R-Neb., are collecting signatures for a sign-on letter asking CMS to accept the standard written order as the only necessary documentation to establish medical necessity for audits of home oxygen, sleep and non-invasive ventilation claims submitted during the public health emergency, according to AAHomecare.
The letter asks CMS to protect patient access by instructing contractors to use CMS’s widely accepted oxygen...