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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!

    • 07/22
      2014

    Ever wonder what the National Ombudsman does?

    VGM representatives and members prepare to testify before the Small Business Administration (SBA) and Office of National Ombudsman on June 25, 2014. VGM has recently been in contact with the Office of the National Ombudsman ...

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    • 07/02
      2014

    CGS Launches MR WIZARD Denial Explanation Tool

    CGS just came out with a new audit help tool to provide detailed information about denials. Please read their synopsis of their new tool. CGS now offers the most detailed online medical review denial information available anywhere ...

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    • 07/01
      2014

    New Study: DME Saves Medicare Money

    A new study conducted by Brian Leitten revealed that Medicare saves money when they pay for DME supplies for beneficiaries. The purchase and use of DME dramatically reduces the impact of injuries had DME not been provided. ...

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    • 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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    • 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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    • 06/23
      2014

    Medicare contractors on the prowl for DMEPOS supplier violations of posted business hours and other physical facility standards

    Medicare suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) should be on the alert for enhanced Medicare supplier standard compliance monitoring by CMS, the National Supplier Clearinghouse (NSC), ...

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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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    • 11/21
      2013

    Referral Sources…We Need to Hear from YOU!

    VGM has partnered with one of our members to create the following survey to help get referral sources more engaged in documenting discharge problems due to National Competitive Bidding. We need to continue contacting Congress ...

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