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Providing Solutions for Complex Rehab Providers

  • Education and Training

    Education
    and Training

    Knowledge of the latest technology and techniques means providing better care for patients. Learn more about educational opportunities from U.S. Rehab here.

  • Clinical and Reimbursement Consulting

    Clinical and
    Reimbursement Consulting

    Our industry experts cover all aspects in the clinical and reimbursement industries. The tips they offer help providers just like you. Start learning here!

  • Government and Regulatory

    Government
    and Regulatory

    Regulatory threats and advocacy in all levels of government are critical for complex rehab providers just like you. Learn from our government and regulatory experts here!

    • 05/14
      2014

    SMRC Another audit contractor

    SMRC Another audit contractor Hired to do statistical analysis on paid DME claims in specific categories. Did PMDs in non PA states and got a 60% denial rate  — doing large number of claims per suppliers. Now looking ...

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    • 04/29
      2014

    Audit form for C2C reopen special project

    VGM has available a way for our members / and others to follow up with some errors they feel has been made at the Reconsider level of appeals. If your company has errors that are basically technical denials that you feel there ...

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    • 01/09
      2014

    WOPD audits will happen

    If you are not getting a WOPD (written order prior to delivery) for those items listed in the new F2F implementation on July 1, 2013 your claims will be recouped if audited. The auditing of claims for the WOPD was intitiated ...

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    • 09/02
      2014

    Make Sure Your “Grandfathered” Business Associate Agreements Are in Compliance by Sept. 23!

    As most DMEPOS providers are aware, the HIPAA Omnibus Rule issued in January of 2013 made change that required healthcare companies to comply with a variety of new HIPAA provisions. Included within these changes was the required ...

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    • 07/16
      2014

    Competitive Bidding Round 2 Recompete Begins: Facts & Commentary

    On July 15 CMS announced its plans to “recompete” (re-bid) the supplier contracts awarded in Round 2 which currently encompasses 91 metropolitan areas.  Current Round 2 product categories, the associated HCPC single payment amounts ...

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    • 07/09
      2014

    CMS proposes DMEPOS price adjustments based on competitive bidding

    On July 2, 2014, CMS issued proposed rule CMS-1614-P “Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies”, ...

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    • 09/19
      2014

    Another recess is around the corner. Push for support for HR 5083 and HR 4920.

    Summer recess has come and gone. We are still seeing the results of those home state meetings. HR 5083 and HR 4920 are gaining supporters. But more are needed! VGM’s DC link resource center is up to date with new co-sponsors. ...

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    • 07/14
      2014

    New Audit Reform Bill introduced, H.R. 5083

    The long awaited audit reform bill from Rep. Renee Ellmers (R-NC) was introduced on Friday July 11th. Ellmers being a former nurse and her husband a surgeon understand how crippling these audits have been to home medical equipment ...

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    • 06/25
      2014

    Dear Colleague Letter circulating/requests OIG to review Competitive Bidding

    This new “Dear Colleague” letter drafted by Rep Tom Price (R-GA), Rep. Bruce Braley (D-IA), Rep. Tom Reed (R-NY) and Rep. Tammy Duckworth (D-IL) is requesting the OIG to conduct a study on Medicare’s competitive ...

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