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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!

    • 05/26
      2015

    “I was involved” Does NOT Document ATP Direct In-Person Involvement

    Recently we have seen the following denials (ADMC and post pay CERT audits) for complex rehab wheelchairs when the ATP note only stated “I was directly involved in the selection of the wheelchair”. “I ...

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    • 04/10
      2015

    Discounts to Cash Customers – How Low Can You Go?

    As Medicare providers begin to diversify to include more retail cash sales, they must consider How LOW can you GO and adhere to the OIG’s guidance regarding discounts to cash customers (“Good Cause” exception). ...

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    • 02/27
      2015

    Jurisdiction D Released it’s Pre-Pay Review Results (Oct 2014-Jan 2015) for Manual Wheelchairs (K1, K3 and K4) and it’s not pretty.

    Jurisdiction D recently released their quarterly pre-pay review results (Oct 2014-Jan 2015) for manual wheelchairs (K1, K3 and K4) and it’s not pretty.  The K0001 review involved 799 claims, of which 616 were denied (77% ...

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    • 07/01
      2015

    Round 2 Recompete “Predictions” — See Survey Request Soon!!!

    I am pleased to announce I will be again speaking at the Medtrade 2015 Conference and Expo held at the Georgia World Congress Center, Atlanta, GA, October 26-29, 2015. The details are: Session Day/Time: Tuesday October 27 4:00PM ...

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    • 07/01
      2015

    CMS update/clarification on the nationwide expansion of Medicare’s competitive bidding program to all areas.

    Background:  In November 2014, CMS issued Final Rule 1614-F, which contains provisions relating to the DME competitive bidding (CB) program and how CMS plans to roll out competitive bid pricing in non-bid areas.   While providers ...

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    • 06/24
      2015

    “Secret Shopper” Calls = Dozens of Termination Letters! Here’s What You Need To Know

    HME Providers with competitive bidding contracts beware!! The Competitive Bidding Implementation Contractor (CBIC)’s Elaine Garrick, Program Manager, has issued termination letters to dozens of HME companies due to their failure ...

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    • 03/17
      2015

    Binding Bids bill passes through House

    Congress passed the binding bids bill, H.R. 284, by unanimous consent. This is a large step closer to fixing the flawed competitive bidding program. The passing of this bill through H.R. 284 may have been the largest hurdle of ...

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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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