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MiraVista products are developed specifically with DME providers in mind and are designed to supplement Andrea Stark’s educational and consulting services. With MiraVista products, there's virtually no waiting! Each product is sent as secure, easy download within minutes of your purchase.
Note: Digital recordings are sent as a zip file. The zip will contain an audio .mp3 file and a copy of the webinar handouts. All written materials are delivered in a secure .pdf format and may be opened using Adobe Acrobat or a free Adobe reader (http://get.adobe.com/reader/).
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MiraVista's Bi-Monthly Vista Notes
In today's ever-changing Medicare industry, it's vital that DME suppliers stay well informed. With continually changing regulations and billing requirements, education is the key to survival in our industry.
With Andrea Stark's Vista Notes, you'll be able to stay informed without taking time away from other aspects of your business!
Vista Notes is a convenient, all-in-one publication that will keep you up to date on Medicare's latest compliance, coverage and billing guidelines. When writing each issue, Andrea utilizes her knowledge as a DME consultant to decipher which information is truly meaningful to suppliers and interprets any vague or confusing regulations into easy to understand articles. In short, you'll recieve timely updates on how important Medicare changes impact your DME business.
Click here to see a free sample of our most current issue!
"I have been the Billing Manager at my company for over 11 years and Vista Notes is that one thing you have always wanted to make your job a little easier." - Stephanie Hess, Community Home Care Services
"We have benefited so much from Vista Notes. It has allowed me to have more freedom to do other things with my staff, than to have to read through and pull out information from multiple sources." - Sylvia King, Thrift Home Care
"I have found Vista Notes to be very beneficial for our day to day operations. The Notes put the regulations in an easy to read format and are explained in a way that even a novice could understand." - Donna Richardson, AnMed Health
Read more testimonials here!
Vista Notes is currently published electronically, on a bi-monthly basis. A total of six issues are released each year. By purchasing an annual subscription below, you acknowledge that you have read and agree to MiraVista's terms of service.
Upon subscribing you will immediately receive the most current issue of Vista Notes: December, 2011.
National Supplier Clearinghouse Application Package
Before entering the Medicare program for the first time, re-enrolling or submitting a change of information, it’s important to make sure you’ve dotted all your 'i's and crossed all your 't’s. Submitting a clean application gives you a significant head start on your journey to enrollment in the Medicare program. This package will give you the guidance you need to ensure you have all the proper documentation and insight needed to meet enrollment requirements.
MiraVista's Medicare NSC Application Package is intended for suppliers who have completed the accreditation and surety bond processes and are ready to enroll/revalidate their enrollment in Medicare. The package includes:
Medicare Billing Cheat Sheets
Last Updated: September 6, 2011
With Billing Cheat Sheets, you'll always have critical Medicare billing information right at your fingertips! A collaboration between MiraVista and our sister company, ClaraVista, this 31-page document is perfect for those suppliers offering multiple DME who are looking for one, concise billing guide that covers it all.
We reccomend you print the cheat sheets and distribute a copy of the pages that pertain to your business to each AR and billing staff member.
Andrea’s Medicare Billing Cheat Sheets provide a breakdown of the following information for all major Medicare policies:
Prefilled Paperwork: The Do's and Don'ts of CMNs, ABNs and Supplier Generated Forms Digital Recording
Recorded: November 9, 2011
During this recording, Andrea Stark discusses how to appropriately complete and utilize CMNs, ABNs, and supplier generated forms, including:
What's up With Round 2 of Competitive Bidding? Preparing for the Bid and Anticipating Impact Digital Recording
Recorded: November 1, 2011
This recording will provide DME business owners and managers with the information you need to evaluate the potential impact of Round 2 on your business and to begin making the internal decision of whether to bid on and/or grandfather products. Join DME consultant Andrea Stark as she provides answers to the Who’s? What’s? When’s? Where’s? and How’s? of Competitive Bidding. Topics to be covered include:
Walking the Fine Line Between Protecting Your Business and Losing Referrals: Tips and Tricks for Educating Referral Sources Digital Recording
Recorded: October 18, 2011
It’s the classic catch-22. On one hand, if you request all documentation up front from a physician, you risk becoming burdensome and losing potential referrals. On the other hand, if you request too little documentation, your risk having your claims recouped in the event of an audit. So what are you to do?
Are You Ready for Revalidation? Part 2 of 2: The Inspector is Here! What Does My Staff Need to Know? Digital Recording
Recorded: September 22, 2011
Per the Affordable Care Act (ACA), all suppliers must revalidate their Medicare enrollment no later than March 2013. Parts 1 and 2 of this series are designed to provide suppliers with a clear understanding of the new revalidation process, including how to submit a successful re-enrollment application and what you need to know to pass inspection.
Are You Ready for Revalidation? Part 1 of 2: Meeting Revalidation Requirements and Submitting Your Application Digital Recording
Recorded: September 20, 2011
Per the Affordable Care Act (ACA), all suppliers must revalidate their Medicare enrollment no later than March 2013. Parts 1 and 2 of this series are designed to provide suppliers with a clear understanding of the new revalidation process, including how to submit a successful re-enrollment application and what you need to know to pass inspection.
Billing for Supplies in an Audit Heavy Environment Digital Recording w/ Bonus Q&A Transcript!
Recorded: August 24, 2011
This event generated a substantial number of questions from attendees. Due to time constraints, we were unable to address them all live. As a result, we have perpared a BONUS Q&A transcript of additional frequently asked questions submitted by attendees during the live event. If you purchase a recording, a copy of the transcript will be included as part of your download.
This recording is co-sponsored by: HME News
How would you fare if your claims for supplies became subject to an audit?
In today’s audit environment, contractors are turning their attention not just to DME equipment, but to their related supplies and refills. The OIG included the frequent replacement of DME supplies as an area of focus in its 2011 Work Plan, and Recovery Audit Contractors (RACs) have initiated specific reviews for: diabetic testing supplies, nebulizer drugs, CPAP accessories, and enteral and parenteral nutrition.
Providers facing audits for supplies and refills know that proving medical necessity for these items creates its own unique set of challenges. In this recording, DME consultant Andrea Stark helps you audit proof your request for refill documentation and explains what is required to: prove the patient was contacted and refills were authorized, show that supplies are being utilized, and document that refills were delivered.
Specific documentation and coverage requirements are discussed for the following audit-prone supplies:
The basics of providing refills for the above product categories is also applicable to suction pumps, surgical supplies, and tracheostomy supplies.
Keeping Up With the Changing World of Oxygen: Understanding RUL and Service Requirements Digital Recording
Recorded: July 14, 2011
Effective May 8, 2011, CMS has mandated that for patients with both stationary and portable equipment, the reasonable useful lifetime (RUL) of the portable unit must be synchronized with the RUL of the stationary unit. During this first half of this recording, Andrea Stark discusses the potential pros and cons of the change, and the potential impact on DME suppliers, including:
What the change means for your current rentals.
The impact on grandfathered suppliers under Competitive Bidding.
A Look at the Year Ahead 2: Hang on Tight, 2011's Not Over Yet! Digital Recording
Recorded: June 23, 2011
This recording is co-hosted by: HME News.
During this recording, DMEPOS consultant Andrea Stark of MiraVista and healthcare attorney Jeff Baird of Brown & Fortunato take an in-depth look at the Medicare compliance, reimbursement, and legislative changes that have taken place over the past six months, and inform suppliers of what to expect in the months to come.
This recordig is the second in the “A Look at the Year Ahead” series and includes updates on:
Suppliers who download this recording will gain a clear understanding of recently enforced Medicare regulations and will be well prepared for the implementation of pending legislation.
Saying Goodbye to LCAs and Hello to Executing Unsigned ABNs Digital Recording
Recorded: June 7, 2011
In this digital recording, DME consultant Andrea Stark will discuss advanced uses of the ABN, including how suppliers can execute a valid ABN in certain situations where the patient refuses to sign.
Denial Therapy Roundtable Digital Recording
Are You Prepared to Pass Your CPAP or Nebulizer Audit?
Recorded: March 31, 2011
CPAP and Nebulizer claims are constantly under prepay review by the DME MACs. This recording will highlight recent vulnerabilities identified in prior reviews, and help you ensure you have everything you need to submit a successful claim and prevent your payments from being recouped.
Andrea's 2011 Audit Outlook: Strategies for Surviving in a Guilty Until Proven Innocent Environment Digital Recording
Recorded: March 22, 2011
This recording is co-sponsored by:
Are You Prepared to Pass Your Oxygen Audit? Digital Recording
Recorded: March 08, 2011
Insufficient documentation is the number one reason for oxygen claim denials, and oxygen claims consistantly have one of the highest CERT error rates. Are you prepared to respond to an audit request? During this recording, Andrea Stark helps you understand what documentation audit contractors are looking for, and how to put together a solid response package.
The Infamous KX Modifier: How Much Documentation is Enough? Digital Recording
Recorded on: February 17, 2011
The OIG and DME MACs have recently begun cracking down on payments for DMEPOS supplies requiring the use of the KX modifier. Would your documentation cut the mustard in the event of an audit?
Are You Prepared to Pass Your Diabetic Supplies Audit? Digital Recording
Recorded: February 3, 2011
During medical reviews, diabetic supplies consistently have one of the highest paid claims error rates, with unsupported overutilization being one of the biggest culprits.
A Look at the Year Ahead: Legal and Reimbursement Changes for 2011 Digital Recording w/ Bonus Q&A Transcript!
Recorded: January 11, 2011
This recording is co-sponsored by:
With the elimination of the first month purchase option of power wheelchairs, upcoming PECOS rejections and scheduled expansion of Competitive Bidding, 2011 is shaping up to be a head-spinning year for DME suppliers.
This event generated a substantial number of questions from attendees. Due to time constraints, we were unable to address them all live. As a result, we perpared a BONUS Q&A transcript of additional frequently asked questions submitted by attendees during the live event.
Coverage and Documentation Requirements for the Rehab Supplier
Recorded: November 4, 2010
This webinar will help suppliers ensure they have a clear understanding of Medicare’s current coverage criteria for mobility assistive equipment, including manual and power wheelchairs.
In addition to ensuring the patient meets coverage criteria, mobility suppliers will also learn which documents they must have on file in the event of an audit, and how to walk the fine line between “educating” and “leading” the physician.
Topics covered include:
* The 7 Element Order
* Detailed Product Descriptions
* Physician Documentation Requirements
* Use of the KX Modifier
* Which Documents You Must Have on File
* The Use of Supplier Generated Forms
Competitive Bidding: Is It Really Winner Takes All? Digital Recording
Recorded: October 15, 2010
Learn how to keep your patients and survive the Bidding program.
The new Patient Protection and Affordable Care Act (PPACA) includes provisions to expand Round 2 of the Competitive Bidding program to an additional 21 Metropolitan Statistical Areas (MSAs) and requires all products subject to bidding under the existing program to be provided at bid prices nationwide by 2016.
With the recently released Round 1 bid amounts scheduled to be implemented in 2011 and the Round 2 bid window set to open next spring, Competitive Bidding is moving full speed with almost no signs of stopping.
During this recording, Andrea Stark will discuss what all DMEPOS suppliers need to know should you not win a bid contract, and the things to consider when deciding whether to continue servicing your Medicare patients.
Topics covered include:
* Your Options if you Don’t Win a Bid Contract;
* What You Must Do to Keep Your Current Patients Under the Bid Program;
* How the Program will Affect the Prices Grandfathering Suppliers can Charge;
* Whether You can Continue Providing Accessories and Supplies;
* Stipulations and Requirements for Servicing Patients who Live in or Travel to Competitive Bid Areas (CBAs);
* Round 1 Single Payment Amounts and Bid Winners (as released by CMS);
* Affected Products, MSAs and Implementation Deadlines;
* What to Expect in Round 2;
* The Effects of Competitive Bidding on Oxygen;
* The Potential for a National Bid on Mail-Order Supplies;
* The Likelihood and Cost of Repealing the Program Entirely.
New Medicare (Re)Enrollment Requirements: How CMS Latest Final Rule Affects Your Business! Digital Recording
Recorded: October 8, 2010
Effective September 27, 2010 DMEPOS suppliers looking to enroll or re-enroll in the Medicare program will face enhanced scrutiny from the NSC and CMS officials. On top of surety bond and accreditation requirements, CMS has issued a Final Rule, which implements several additional licensure and business operation requirements.
Don't take any chances with your Medicare enrollment status! During this recording, DMEPOS consultant Andrea Stark discusses various provisions laid out in the Final Rule and how they affect your business, including:
On September 17, CMS followed the final rule with an additional proposed rule that would implement several provisions in the ACA related to Medicare enrollment screenings, application fees, compliance plans, moratoria and more. These provisions arealso be addressed during this recording, including:
Can You Really Do That? Debunking Medicare Myths Digital Recording
Recorded: September 2, 2010
We’ve all heard stories, we’ve all had questions. We’ve even seen competitors push the envelope – are they wrong or just ambitious? Is it possible we are being too cautious to our own detriment?
This recording will set out to distinguish the difference between Medicare myths and reality. You will learn what is really acceptable under Medicare guidelines as Andrea Stark debunks comming Medicare myths submitted by webinar participants.
Some of the topics covered in this recording include:
Revisiting Private Pay: Are You Leaving $ on the Table? Digital Recording
Recorded: August 19, 2010
Do you find yourself having trouble collecting from patients? Are you tired of chasing down payments? Your front-end could be the reason patient AR is ballooning. Purchase this recording today, and ensure you’re taking advantage of every opportunity to proactively secure payments and reduce future collection efforts.
During this recording, DME consultant Andrea Stark will help you re-examine your payment policies:
She’ll also provide you with several keys to successful patient collections, including:
Finally, Andrea will conclude the session by providing you with the tools you need to evaluate a patient’s risk when credit must be extended:
Have PECOS Questions? Get Straight Answers! Digital Recording
Recorded: July 29, 2010
Confused about whether your payments will be recouped when PECOS edits are implemented?
Concerned about billing claims where the ordering physician isn't listed as enrolled in PECOS yet?
Worried about the impact PECOS rejections will have on your business?
If you're ready to get straight answers to your PECOS questions, then this recording is for you!
Due to the increasing number of inquiries MiraVista received regarding the July 6 PECOS physician enrollment deadline and January 3, 2011 rejection implementation date, we decided to hold a timely PECOS webinar. This is a recording of the live event.
During this recording, Andrea Stark explains how the PECOS edits will be implemented, covers the latest PECOS updates, and answers questions regarding the July 6 physician enrollment deadline.
Respiratory Updates Vital to Your Business: Oxygen, CPAP and RAD Digital Recording
Recorded: September 30, 2010
This webinar is co-hosted by:
2010 has been a year of change for oxygen, CPAP and RAD suppliers. With revised LCDs, special payment rules under Competitive Bidding, limited maintenance payments and increased audits, respiratory suppliers have had more than their fair share of changing reimbursement guidelines and new regulations. Have you kept up with them all?
During this recording, Andrea Stark provides answers to some of the most frequently asked oxygen, PAP and RAD questions, including:
Oxygen
* When can I bill for maintenance payments, and what do I have to do to justify the claims?
* Which oxygen modalities/equipment qualifies for content payments, and when can I start billing for them?
* Which situations qualify for a new 36-month rental period?
* What are my obligations if an oxygen patient moves or travels outside of my service area?
CPAP & RAD
* Who can conduct the required re-evaluation of a CPAP or RAD patient?
* What is considered compliant usage of a CPAP or RAD, and how must compliance be documented?
* What are my options if a CPAP or RAD patient is not re-evaluated within 90-days of initiating therapy?
* What if the patient fails their second CPAP trial?
The session with the latest respiratory billing updates issued by CMS, including:
* Proposed Changes to the 36-Month Oxygen Payment Rule
* New Documentation Requirements for CPAP to RAD Upgrades
* How Competitive Bidding will impact Oxygen, PAPs and RADs
Maslow's Hammer and the Traditional Reimbursement Arsenal: How Lack of Process is Dooming Your Billing Talent Digital Recording
Recorded: July 15, 2010
“To a man with a hammer, everything looks like a nail.” –Abraham Maslow
What we know is that we need billing talent. If we are unsatisfied with the result, we assume we do not have enough billing talent or the right kind of billing talent. Even the brightest billing staff, however, cannot effectively manage their operation with reimbursement expertise alone. A billing operation without process is like a one-tool toolbox; the hammer is a good tool, but when over utilized, it is ineffective and destructive. If you think you are frustrated, how do you think the hammer feels?
The good news is, you do not need more software, more people, or more complexity. Instead, you need to focus on building a strong billing process. Strong processes address the individually insignificant symptoms before they cause damage, allow the billing staff to use their skills to research and resolve issues that really matter, and allow operational managers and owners to evaluate performance in less than 15 minutes each day.
During this recording, we explore the fundamentals of having a strong billing process as the irreplaceable companion to reimbursement expertise and teach you how to:
This recording is jointly presented by Andrea Stark (the reimbursement talent) and Derrick Stark, CPA, CVA (the opposite) in a point/counter-point format that works through real world scenarios for building process into your billing department.
Simplify your billing operation, improve the results, reduce billing costs, and bridge the divide between billing-speak and the rest of your business.
They're Auditing Me! What Do I Do Now? - Preparing for the Inevitable Audit Digital Recording w/ Bonus Q&A Transcript!
Recorded: July 8, 2010
This recording is sponsored by:
With the increased focus on Medicare fraud, legitimate suppliers are finding themselves subject to undue scrutiny from heavy-handed audit contractors. However, by knowing what these contractors are looking for, you can take proactive measures to prepare for audits and help increase your chances of receiving a favorable decision.
During the first half of this recording, Andrea Stark provides an overview of what audit contractors are looking for when reviewing claims. Discussion includes:
During the second half of this recording, Andrea will teach you how to:
This event generated a substantial number of questions from attendees. Due to time constraints, we were unable to address them all live. As a result, we perpared a BONUS Q&A transcript of additional frequently asked questions submitted by attendees during the live event.
Physician Signature Requirements - If They Can't Read It, They Won't Pay It. So What Can I Do? Digital Recording
Recorded: June 25, 2010
Medicare contractors have been instructed to crack-down on the legible physician signature requirement. That means even if you have everything you need to support your claim, it may still be denied upon review if your doctor signed a single CMN, written order or chart note with illegible hand writing (and we both know this happens all the time!).
This recording will teach you how to prepare for potential audits based on illegible physician signatures and the steps you can take now to prevent future denials, including:
The Impact of H.R. 3590 on DME: How the New Healthcare Bill Affects You! Digital Recording
Recorded: May 5, 2010
On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (H.R. 3590). The new healthcare bill contains many provisions that directly affect all DMEPOS.
This digital recording will inform you about the true impact H.R. 3590 will have on the DME industry and how to prepare for all of the changes to come.
PAP Revisited: 2010 Changes Put Claims at Risk Digital Recording (w/ Bonus Q&A Transcript!)
Recorded: April 13, 2010
On March 5, 2010, the DME MACs issued a revised PAP LCD, effective April 1, 2010. Revisions made to the LCD include:
During this recording, Andrea Stark will teach you what you need to know to understand the new revisions and reduce potential rejections.
Along with the above revisions, the recording also highlights changes made to the PAP LCD on January 22, 2010, retroactive to January 1, 2010. Additional topics covered include:
DME Billing 103: Effectively Responding to Audits and Pursuing the Appeals Process Digital Recording
Recorded: April 29, 2010
Audits are unpleasant, time-consuming and costly. They happen to even the most successful and honest DMEPOS suppliers and usually without warning. In the event of a denial or an audit, there are several steps you can take to help turn rejections into collections.
DME Billing 102: AR Management Strategies
Recorded: March 18, 2010
In light of recent reimbursement cuts, competitive bidding and an increase in CERT/RAC/DME MAC audits, providers can’t afford to submit sloppy claims. Even the smallest oversights that may have gone unnoticed in the past are now resulting in costly denials, rejections and recoupments.
This recording will provide you with the tips and tools you need to be sure you are properly submitting claims to Medicare, the first time around.
DME Billing 101: Patient Intake and Assessment Digital Recording
Recorded: February 16, 2010
Before supplying equipment to a patient, you need to make sure you’ll get reimbursed. Many of the reimbursement headaches that providers face can be prevented simply by ensuring you have a solid patient intake and assessment process. During this webinar, you'll learn what steps you need to take from the time a patient walks in the door to the time you deliver their equipment.
This webinar will help reduce your chances of failing an audit by teaching you what to look for before submitting a claim.
Planting the Seeds for Success: Tips to Clear Out and Prune Back your AR Digital Recording
Recorded: November 19, 2009
Your AR is the lifeline of your business, but if not properly maintained it will easily grow wildly
out of control. During this webinar, Andrea brings you up to speed on AR tips and techniques to help keep your accounts current and receive faster claim payments.
It’s time to take back control of your AR and gear up for a successful new year!
After listenting to this webinar you’ll have the insight and tools necessary to streamline your claim submission process and decrease turn-around times.
Oxygen Reimbursement Clarifications Digital Recording
Recorded: October 22, 2009
This digital recording addresses the latest Oxygen clarifications and regulations released from CMS, including:
Screening CMNs - What should you be looking for? Digital Recording
Recorded: July 14, 2009
After listening to this webinar, you'll understand how to use CMNs, know which situations require a CMN and know which CMNs are accepted by Medicare. Andrea provides step-by-step details on how to properly fill out each section of a CMN, as well as clarifies confusing date and time requirements.
Updated CMN coverage criteria is discussed for the following topics:
Learn when to use DIFs, WOPDs, Detailed Orders and more!
The Cure for the Common Medicare Denial Digital Recording
Recorded: December 18, 2008