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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/).

 

Please check back often for new products or special promotions! 

 

Please Note: First-time visitors will be asked to create an account when checking out.  Products will be delivered to the e-mail address associated with your account.

 

Purchase an Annual Subscription to Vista Notes

 

Vista Notes is your one-stop resource for timely Medicare updates. Within each issue, DME consultant Andrea Stark utilizes her insight and expertise to decipher how upcoming changes to Medicare compliance, coverage and billing guidelines will impact your business.

 

With Vista Notes, we do the ground work for you – reporting only on those changes which are truly meaningful to DME suppliers, and interpreting vague or complex regulations into easy to read articles. Andrea Stark's Vista Notes allows you to keep your staff informed without taking time away from other aspects of your business!

 

Vista Notes is published on a bi-monthly basis, with annual subscribers receiving a total of six convenient issues delivered straight to their inbox per year.

 

Click here to see a free sample of the current issue!

 

Read subscriber testimonials here!

 

By purchasing an annual subscription below, you acknowledge that you have read and agree to MiraVista's terms of service.

 

Upon subscribing, please look for an e-mail from customerservice(@)miravistallc.com with a download of the most current issue of Vista Notes: February, 2013.

 

Not ready to commit? Scroll down to purchase a single issue of Vista Notes and see what the publication has to offer!

 

 

Price: $ 300.00 / year

 

 

                  

 

 

 

Purchase a Single Issue of Vista Notes

 

Whether you are considering if Vista Notes is right for you or prefer to pay on a per issue basis, MiraVista now offers the option to purchase a single issue of Vista Notes. Suppliers who wish to receive a one-time download of only the current issue may purchase a single copy of Vista Notes below.

 

For your convenience, suppliers who purchase a single issue of Vista Notes will be notified via e-mail of future releases and afforded the option to return to this page to purchase new editions.

 

Upon completing your purchase, please look for an e-mail from customerserivce(@)miravistallc.com with a download of the most current issue of Vista Notes: February , 2013.

 

Note: Annual subscribers enjoy a savings of $30 per year over the cost of per issue purchases and receive the latest issue of Vista Notes sent automatically to their email.

 

 

Price: $ 55.00 per Issue

 

 

                  

 

 

 

Medicare Billing Cheat Sheets

 

Last Updated: August 02, 2012

 

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 37-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 over 29 major Medicare policies:

  • Current diagnosis criteria
  • CMN criteria
  • Important coverage and documentation guidelines (broken down into a few critical sentences)
  • Common HCPCS codes and modifiers
These cheat sheets are sure to help keep you on track and your cash-flow rolling!
 
Click here to view a free sample!

 

Price: $ 150.00

 

 

                  

 

 

 

The Future of Diabetic Supplies: Are You In or Out? Digital Recording

 

Recorded On: May 7, 2013

 
Diabetic Supplies are taking a major hit this year with the implementation of National Mail Order. Come July 1, 2013 a 72% reimbursement cut will go into effect for all suppliers, mail order or not. Newly passed Sequestration lops on an additional 2% reduction on an already unsustainable rate. While these rate cuts are mandatory, there are options available to providers to mitigate the impact. Whether you are a provider that accepted a contract or not, you need a game plan to decide your next steps. MiraVista is here to help.
 
Join us as Reimbursement Expert Andrea Stark provides an expert’s insight into the depths of National Mail Order and its effect on the industry. Providers will gain an understanding for what these reductions mean to their business and also what options are on the table. During this session, Andrea will offer comprehensive coverage of the following topics:
  • An in-depth look at what National Mail Order means to your business
  • The effect of the additional cuts from the American Taxpayer Relief Act (ATRA) and Sequestration
  • Why your participation status with Medicare matters and how your status determines the options you have for servicing future customers
A live question and answer session will take place at the end of the call. Don’t miss this opportunity to have your critical questions answered by an industry professional.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Protecting Your Sensitive Data Without Breaking the Bank Digital Recording

 

Recorded On: April 9, 2013

 

 
The struggle to balance security and technological efficiency is tougher than ever before. Cloud based computing, file sharing, and remote access expand our opportunity without a giant IT price tag exclusive to only the very largest providers. These same opportunities can, however, open us up to security vulnerabilities never before imagined. 
 
In this session, Derrick B Stark, CPA provides common sense evaluation and security tips for executive management to increase efficiency without unnecessarily exposing your patient's HIPAA protected data or compromising your company's confidential information and trade secrets. Topics will include:
  • Ensuring your internal technology policies are effective and enforceable
  • Safely sharing and communicating data to your authorized users inside and outside of your office
  • Favorite apps and applications for safely storing and accessing sensitive information. 
 
 

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

PECOS Phase 2: Get Your Claims Through! Digital Recording

 

Recorded On:  April 10, 2013 

 

CMS just announced that Phase 2 PECOS claim denials will begin on May 1st, 2013. This new deadline raises many questions for suppliers… How will this impact my revenue? What should I do to get prepared? Are my referral sources enrolled in PECOS?

 

 

With the release of this new deadline, MiraVista is offering a timely webinar to get your questions answered and to help providers get prepared. Providers have less than 45 days to get their records updated before the edits are implemented and claim denials begin.

 

 

Join us as Reimbursement Consultant, Andrea Stark instructs on the key essentials of the PECOS program and how to avoid unnecessary claim denials. Topics on the agenda include:

  • An overview of the PECOS program to date.
  • What to expect come May 1.
  • Identifying affected claims and referral sources.
  • Actionable next steps for providers.
  • Resources for educating referral sources.

 

A live question and answer session with Andrea will take place at the end of the call to ensure your questions are answered. Don’t let your revenue get tied up in unnecessary claim denials, join our webinar today!

 

Get a Digital Recording: $ 59.00

 

 

                  

 

 

 

Don't Shoot the Messenger: An Operational Guide to Managing Front-End Denials Digital Recording

 

 

Recorded On: February 26, 2013
Denials are part of every medical billing process, and to be honest, they sometimes get a bad rap. Denials are not evil, they are simply communicators of information that we do not want to hear. Denials tell us, not only that a specific claim is not payable, but that there are inefficiencies in our business processes, our referral sources, and our payor network. Effectively managing denials leads to increased cash flows, better operational integrity, and less work.
In this session geared towards executive management and supervisory billing staff, Derrick Stark, CPA will discuss:
  • How to make denial management first priority without hiring additional staff
  • The essentials of developing and monitoring a strong front-end denial management protocol
  • Top tips to effectively handle the denials that are plaguing your company

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Breast Care Providers in the Line of Fire. Protect Your Revenue. Get Prepared. Digital Recording

 

Recorded On: February 26, 2013

 

Sponsored by

 

The Jurisdiction D contractors have aggressively pursued the breast prosthesis provider over the last few years. Audits have already been conducted by the RAC and subsequently by the CERT contractors. Most recently, and most concerning, a widespread, pre-payment review was announced by Noridian Administrative Services (NAS) the Jurisdiction D MAC. This announcement means L8030’s in Jurisdiction D will not pay until all requested documentation is received and approved. Providers have not achieved favorable results (NAS denied 76% of the documented responses).
It is critical that providers of mastectomy products correctly anticipate what the contractors need in their audit responses or cash flow from Medicare will effectively dry up. The spot light has been cast and without dramatic improvement, other contractors and Jurisdictions are likely to follow. No matter what Jurisdiction you are in, you must attend this webinar and prepare yourself for audits and poise your business for successful outcomes. Please join us for this timely and informative webinar co-hosted by Essentially Women.
The following topics will be discussed during the webinar:
  • The progression of the mastectomy audit.
  • Critical components to an audit response.
  • Common technical errors that cause denials.
  • Putting together a successful audit response.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Oxygen & PAP Coverage Changes Prompt Procedure Modifications Digital Recording

 

Recorded On: February 21, 2013

 

The Medicare oxygen policy is the subject of two recent policy revisions which puts an increasingly larger number of beneficiaries at risk for non-reimbursement. The PAP policy also received revisions that inextricably link the two together for select patients. Both these product categories will be impacted by the future face-to-face requirements set to take effect on July 1.During this webinar, providers will get a clear understanding of what changes are included in the policies and will learn to modify the screening process to ensure that at risk beneficiaries are identified early in the process. This knowledge will ensure that Advance Beneficiary Notices are executed timely and appropriately. Join us as Andrea Stark breaks down how these revisions will impact your business and what steps you should be taking in preparation. 
 

 

The following topics will be discussed during the webinar:
  • Oxygen policy changes included in the October 2012 revision
  • Oxygen policy changes included in the January 2013 revision
  • PAP policy changes included in the January 2013 revision
  • Implications to future reimbursement and necessary process changes to reduce provider exposure
  • Implications of the face-to-face regulation and specific impact on oxygen and PAP delivery 
 

 

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

NEMED New Face-to-Face Requirements Get Finalized for DME: Are you Ready for Implementation? Digital Recording

 

 

Recorded On: February 7, 2013

 

 

Digital Recording content from the original air date of December 13th 2012, to include the question and answer session from this event on February 7th 2013.

 
 
 
Effective for orders written on or after July 1, 2013, CMS has issued a final rule to implement the face-to-face (FTF) provisions of the Affordable Care Act. The instruction mandates that beneficiaries have a formally documented evaluation prior to delivering certain services.
 
Covered items include:
  • Respiratory services - oxygen, RAD, CPAP, vents and nebulizers.
  • Glucometers
  • Lymphedema pumps
  • Manual wheelchairs and accessories
  • Hospital beds
  • Support surfaces
  • Seat Lift Mechanisms
  • Traction equipment
  • Speech generating devices
  • And more…
 
The following topics will be discussed during the webinar (which includes a question and answer session):
  •  What the rule means to providers of DME
  •  Supporting medical necessity
  •  Modified elements for written orders
  •  New roles for attending physicians and limitations on Physician Assistants, Nurse Practitioners and Clinical Nurse Specialists
  •  Separate physician reimbursement for documenting the FTF
  •  Applicability to pharmacies
  •  
Get prepared. Join our webinar. Knowledge is power.

 

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Making Sense of Tax Changes: A 2013 Update for HME Owners & Managers Digital Recording

 

Recorded On: January 28, 2013

 

With so many pending tax changes, your relationship with your accountant is more important now than ever. Communicating with your bean counter, however, can be a real chore. He or she may not truly understand the home medical equipment industry, and you wouldn't need an accountant if you understood the looming tax implications of each business decision.
Join Derrick Stark, CPA (South Carolina) in the first MiraVista tax update on January 28th, 2013 to discuss important tax matters that affect most privately held businesses. Topics on the agenda include:
  • Income tax rates and classification
  • New taxes related to the Affordable Care Act
  • Changes in allowable business deductions
A general understanding of the tax landscape will allow you to make better use of your accountant's specific tax advice by eliminating barriers. By attending this webinar you will know what questions to ask and which tax rules have the greatest impact on your management plans and operations for 2013. Time will be allotted at the end of the call for a live question and answer session.

 

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

A Look at the Year Ahead: Legal & Reimbursement Challanges & Opportunities for 2013 Digital Recording

 

Recorded On: January 15, 2013

 

Co-hosted by: HME NEWS
 
Competitive Bidding will be deployed this year on a grand scale, government policies seem to be changing at the turn of every corner, auditing contractors are operating at full force (and not just in the Medicare realm), and technology advances provide both opportunities and risk. In the face of so many challenges, providers look to expand their market share, but will your policies on patient collections, marketing efforts, or expansion into the retail market open up new hazards? Find out in this informative webinar with DME consultant Andrea Stark and Brown & Fortunato health care attorney Jeff Baird, as they prepare you for the reimbursement and legal changes ahead.
 
Topics include:
  • Technology Crash Course (data security considerations, penalties and HIPAA requirements in the case of a breach)
  • Competitive Bidding and MPP Update
  • Audit and Reimbursement Outlook
  • Best Practices Regarding Patient Collections (and pitfalls to avoid)
  • Marketing and Solicitation (avoiding the scrutiny of the auditing contractors)
  • Entering the Cash and Internet Sales Marketplace (all that glitters… is not gold)

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

New Face-to-Face Requirements Get Finalized for DME: Are you Ready for Implementation? Digital Recording

 

Recorded: December 13,2012

 

 

 

Co-Hosted by: HME News

 

 

Effective for orders written on or after July 1, 2013, CMS has issued a final rule to implement the face-to-face (FTF) provisions of the Affordable Care Act. The instruction mandates that beneficiaries have a formally documented evaluation prior to delivering certain services.
Covered items include:
  • Respiratory services - oxygen, RAD, CPAP, vents and nebulizers.
  • Glucometers
  • Lymphedema pumps
  • Manual wheelchairs and accessories
  • Hospital beds
  • Support surfaces
  • Seat Lift Mechanisms
  • Traction equipment
  • Speech generating devices
  • And more…
The following topics will be discussed during the webinar (which includes a question and answer session):
  • What the rule means to providers of DME
  • Supporting medical necessity
  • Modified elements for written orders
  • New roles for attending physicians and limitations on Physician Assistants, Nurse Practitioners and Clinical Nurse Specialists
  • Separate physician reimbursement for documenting the FTF
  • Applicability to pharmacies
Get prepared. Join our webinar. Knowledge is power.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Finding the Right Fit: An Executive's Tale of Hiring and Firing Billing Personnel Digital Recording

 

Recorded: December 4, 2012

 

As owners and managers, finding good reimbursement talent is frustrating and elusive on a good day and disastrous on its worst. We often ask the wrong questions, value the wrong contributions, and reward the wrong outcomes. In this session, Derrick Stark, CPA, will discuss methodologies to hire, train, incentivize, and manage reimbursement talent to get the results you want.
 

Topics to be discussed include:

  • Finding and screening potential billing personnel
  • Managing and promoting based on value
  • Parting with problematic employees
  • Managing and maintaining corporate culture
  • Managing corporate culture and nuances of management style

We will randomly select attendees to participate in an in depth, round table discussion in January 2013 (included in the original cost/purchase of the webinar). Selected participants will be able to anonymously discuss personnel issues among like-minded peers with the goal of brainstorming and debating possible strategies and solutions.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

An Industry Update: What Does CMS Have Up It's Sleeve Digital Recording

 

Recorded: November 27, 2012

 
 
During this session, Andrea Stark will bring you and your staff up to speed on the top issues and recent changes affecting our businesses. Hot topics will include:
 
 
  • A discussion on recent updates to the oxygen policy that affects what tests you can use to qualify your Medicare patients.
  • An update on where do we stand with the new requirements related to the replenishment of non-consumable supplies.
  • The latest update on implementing the PECOS edits that will cause our claims to deny,
  • A dialogue to understand Market Pricing Program (MPP) the Competitive Bid Alternative, and A discussion of the CMS instruction to replace patient owned equipment without charging for it.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Is Your ABN Worth The Paper It's Writen On? Digital Recording

 

Recorded: August 23, 2012

 

Medicare has revised its stance on utilizing Advanced Beneficiary Notices (ABNs), specifically when upgrades are provided. Did you know that a device simply being “better,” “higher quality,” or having an “excess feature” may not qualify it as an upgrade? ABNs do not offer protection in every situation, and it’s imperative that suppliers know how to properly execute this tool for the maximum benefit. This recording will provide you with the insight you need to properly complete and execute an ABN in various scenarios. Topics covered include:

  • Situations in which you may and may not utilize an ABN.
  • Examples of what would and would not constitute an upgrade.
  • What auditors expect to see on a properly completed ABN.
  • Examples of valid and invalid ABNs.
  • Guidelines for estimating the expected cost to the patient.
  • Whether voluntary ABNs are truly effective.
  • How to execute an unsigned ABN.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Revised Documentation Requirements Open the Door for Audits. Are You Prepared?

 

Recorded: July 26, 2012

 

Suppliers were thrown a serious curve ball in the latest of two revisions made to Medicare’s standardized documentation requirements. In addition to the requirement to document the amount of supplies a patient has remaining prior to delivering refills, revised guidance now contains an additional provision designed to prevent suppliers from routinely replacing certain accessories, even if the replacement would be in accordance with Medicare’s usual maximum guidelines.

 

 

During this recording, DME consultant Andrea Stark will provide a detailed explanation of Medicare’s latest refill documentation requirements and the impact recent revisions will have on your business. Discussion also covers clarifications regarding: how to document continued use vs. continued need, and what is considered contemporaneous documentation.

 

 

Additional topics discussed include:

  • New “consumable” and “non-consumable” supply categories, and which products are covered under each.
  • Why you may no longer be able to replace accessories based on Medicare’s usual maximum amounts, even if the accessory would normally qualify.
  • What auditors will be looking for when reviewing: dispensing/verbal orders, written orders, ABNs, refill documentation and proof of delivery.

The information to be discussed during this event impacts suppliers of all product types.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

The Future of Diabetic Testing Supplies: What the National Mail-Order Bid and Future Revisions to the LCD Could Mean to Your Business Digital Recording

 

Recorded: July 12, 2012

 

A whirlwind of change is taking place in the world of diabetic supplies. In addition to the looming announcement and implementation of national mail-order contracts, Medicare recently made substantial revisions to the Glucose LCD, which were scheduled to go into effect on July 1, 2012. At the very last minute, the DME MACs retracted the revised LCD on June 29, 2012. Although no longer in effect, the changes outlined in the revised LCD will likely resurface in the future. The last minute retraction provides suppliers with an excellent opportunity to gain insight into the current mindset of policy makers and better prepare themselves for the possible implementation of these revisions at a future date.

 

 

During this session DME consultant Andrea Stark takes a look at the future of diabetic testing supplies in Medicare. Topics covered include:

  • What changed in the retracted LCD?
  • Which changes do we still expect to see in future revisions?
  • What is the current timeline for the implementation of mail-order contracts?
  • What are CMS' plans for retail supplies in terms of Competitive Bidding?
  • What are my options if I don’t win or didn’t bid? Can I still hand deliver supplies myself?
  • Can I grandfather in my current mail-order patients?

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Recovery Audit Contractors (RACs) What Do They Want From Me? Digital Recording

 

Recorded: June 05, 2012

 

Ever wonder which documentation you should send in response to a RAC audit? How much do they want? What is the best way to package it together?

 

 

Whether you're undergoing a current audit or are just looking for some insight into the RAC auditing process, this recording will provide you with the education you need. Topics covered include:

  • How the DME industry may benefit from the Senate Finance Committee's unprecedented request for recommendations to improve program integrity efforts.
  • The differences between complex, semi-automated and automated reviews
  • Which DME are most prone to review,
  • Guidelines for sending in your documentation, and
  • Your options for appeal.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

What Does CMS Have Up Its Sleeve? Digital Recording

 

Recorded: May 24, 2012

 

This event is co-hosted by:

HME News

 

Several regulations are in the works that while not necessarily taking center stage will have a significant impact on DME suppliers once implemented. During this recording, DME consultant Andrea Stark takes a look at several of the regulations CMS has waiting in the wings for DME suppliers, including recently implemented changes that you may not even be aware of. Topics covered include:

  • A new proposed rule that could leave suppliers facing potential False Claims Act violations for failing to identify an overpayment up to 10-years old.
  • Updates to the power mobility device demonstration project, including penalties for failure to obtain a prior authorization and your options if a prior authorization is denied.
  • Proposed changes the CMS 1500 Claim Form.
  • Clarifications on what constitutes contemporaneous documentation.
  • Guidance on documenting continued use vs. continued need.
  • Finalized revisions to the supplier standards
  • And more!

Don’t be caught off guard! Download this recording and ensure your staff are kept in the loop on important changes that are in the works for DME.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

I Think I Can Start A New Capped Rental... Now What? Digital Recording

 

Recorded: May 17, 2012

 

During this presentationDME consultant Andrea Stark discusses the various scenarios under which a new oxygen rental may begin, and assists suppliers in developing protocols to identify and advise patients of their need to exchange equipment. You will also gain an understanding of your options if the patient refuses new equipment.

 

 

In addition, discussion includes a clear explanation of the CMN procedures and documentation requirements for replacing oxygen equipment in each of the following scenarios: reasonable useful lifetime (RUL), damage beyond repair, loss or theft, and qualifying breaks in need.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Navigating the Waters of Medicare Reenrollment, Revalidation and PECOS

 

Recorded: April 24, 2012

 

Is your business ready for revalidation? With this recording you are sure to be well prepared when the NSC comes knocking at their door. This session will help ensure that you are operating within Medicare’s current supplier standards and will provide answers to your questions on the revalidation process and enrollment in PECOS. 

 

Discussion  includes:

  • A step-by-step guide to enrolling and accessing your data in PECOS
  • How to know if you’ve been sent a revalidation request letter
  • Paying your application fee
  • Getting your storefront ready for inspection
  • Questions the inspector may ask
  • Documents to have on file
  • Current licensure and subcontracting requirements
  • Facility size and hours of operation minimums that all suppliers must meet (with limited exceptions)
  • Restrictions regarding sharing locations and phone operations
  • Anticipated improvements to the PECOS database

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Making Sense of Medicare's Modifier Madness Digital Recording

 

Recorded: March 15, 2012

 

GA, GL, GK, GZ, GY, KX, MS, RR, K0-K4, KH-KJ, K0-KQ, RA, RT, LT.... and the list goes on and on!

 

 

When it comes to DME, your billers are surrounded by a literal hodgepodge of alphabet soup each and every day. So it’s no wonder that missing and inappropriately used modifiers are one of the number one reasons for claim rejections and denials. If you’re looking to brush up on your understanding of Medicare’s modifier madness, you've come to the right place. In this recording, DME consultant Andrea Stark discusses the appropriate use of over 30 of Medicare’s most commonly misused modifiers, including those modifiers required on claims for: capped rental items, oxygen, prosthetics and orthotics, surgical dressings, nebulizer medications, maintenance and repairs, and upgrades.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Get The Scoop on RAC Audits for Sleep Tests

 

Recorded: February 16, 2012

 

So far we’ve seen two major audits for CPAP sleep test studies implemented by RACs. The most recent of which, is actively occurring in Jurisdiction C (Connolly Healthcare). The number of suppliers receiving these audits is quickly ramping up and the RAC is showing no signs of slowing down. The ongoing audit in Jurisdiction C comes on the heels of a 2011 audit conducted by the Jurisdiction D RAC (HDI), where the contractor improperly denied claims for CPAP patients whose sleep tests weren’t paid for by Medicare. It is critical that suppliers understand the differences between the failed HDI audit and current Connolly Healthcare audit. They are not the same!

 
In light of this pressing issue, DME consultant Andrea Stark held a 30 minute webinar on February 16 at 11am EST to provide the scoop on the what the Jurisdiction C RAC is looking for and answer supplier questions on how to respond. We would like to offer a special thank you to our guest speaker Wayne van Halem, president of The van Halem Group, LLC, who joined us during the call. Wayne is an Accredited Healthcare Fraud Investigator and a Certified Fraud Examiner, who specializes in healthcare audits and appeals.

 

Get a Digital Recording: $ 49.00

 

 

                  

 

 

 

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:

  • Who may fill out which sections of a CMN.
  • Your options when information is missing or incomplete on a CMN.
  • When a revised, initial and recertification CMN are required (oxygen related).
  • Scenarios where you may or may not utilize an ABN for upgrades.
  • What to charge when an ABN is on file (assigned vs. non-assigned claims).
  • What to do if the patient refuses to sign an ABN.
  • Medicare’s take on supplier generated forms.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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:

  • Who is affected (products and MSAs subject to bidding).
  • What you need to know if you plan to submit a bid, and your options if you don’t bid or aren’t awarded a contract (grandfathering and subcontracting)
  • When bidding is expected to take place, winners be announced, and payment amounts implemented.
  • Where traveling patients will need to go to get their DME, once bidding is implemented.
  • How CMS determines bid winners.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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?

 
During this course, DME consultant Andrea Stark provides her take on how suppliers can best protect their businesses while minimizing the loss of referrals. This recording will provide you with insight on how to evaluate a physician’s charting practices to weed out poor referrals, and the best ways to educate physicians and help them improve documentation habits.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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:

  • Diabetic
  • CPAP
  • Nebulizer
  • Enteral and Parenteral
  • Urological

The basics of providing refills for the above product categories is also applicable to suction pumps, surgical supplies, and tracheostomy supplies.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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:

  • How your payments will be affected.
  • What the change means for your current rentals.

  • The impact on grandfathered suppliers under Competitive Bidding.

During the second half of this event, Andrea will make sure you are up to date on the most current service requirements for oxygen suppliers, including:
  • When you may and may not discontinue service to a patient and pick up equipment.
  • Your obligations when a patient travels or moves out of your service area both pre and post cap.
  • Whether you are required to service or provide contents to patients after the 5-year RUL is reached.
  • Situations where you may discontinue service and pick up your equipment.
  • The impact of Competitive Bidding on grandfathered suppliers, including limitations on transferring patients

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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.

 
With the removal of least costly alternative provisions (LCAs) from all medical policies (LCDs), suppliers have lost the automatic downcoding once relied upon and must now refocus their efforts on manually billing for upgrades.
 
This recording will help ensure your staff understand the full impact the removal of LCAs have on your business and are properly trained on executing an ABN, including:
  • Use of the GA, GK, GL and GZ Modifiers
  • Billing for Upgrades
  • How Much You Can Collect up Front
  • Providing Free Upgrades
  • What to Do When an Item is Statutorily Non-Covered
  • Executing an ABN When the Patient Refuses to Sign 

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

Denial Therapy Roundtable Digital Recording

 

Recorded: May 19, 2011
 
Having a problem with recurring denials?
 
In this recording, DMEPOS consultant Andrea Stark discusses some of the most common denials plaguing our industry, and highlights simple screening procedures you can implement to catch billing errors early in the claims process.
 
Derrick Stark, CPA, an expert in data analytics and process management also provides insight into some of the tried and true processes our own billing service utilizes to scrub claims for potential errors and mitigate denials, along with tips on how to implement similar procedures in your own business.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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.

 
CPAP
The first part of this course will focus on ensuring you have the necessary documentation on file to successfully submit a CPAP claim. Topics covered include:
  • Detailed Written Orders,
  • Use of the KX Modifier,
  • Documenting compliant use of the PAP,
  • What to do when patients are re-evaluated late or do not meet adherence requirements, and
  • How to handle patients who have PAPs prior to enrolling in Medicare. 
Nebulizers
The second half of this recording will cover how to effectively bill for nebulizer equipment, drugs and accessories. You will learn:
  • What must be included in physician orders,
  • Which modifiers to use when billing for drugs,
  • How to calculate the correct volume/amount of drugs to bill, and
  •  When additional documentation is required. 
The recording concludes with an overview on how to audit proof requests for refill documentation for CPAP and nebulizer supplies.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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:

HomeCare Magazine
 
This recording is designed to give suppliers a behind the scenes look at Medicare’s auditing contractors, and help them understand where the current state of audits is heading. If you want to know what to expect in 2011 and are looking for proactive steps to protect your business from audits, then this webinar is for you!
 
Join DMEPOS consultant Andrea Stark as she takes you inside the world of Medicare’s latest weapons in its audit arsenal – RACs and ZPICs. In this session, Andrea provides suppliers with a clear understanding of how each auditing contractor operates, what they’re looking for, and how the audit landscape is changing in 2011.
 
After listening to this session, you will have a full understanding of 1) your options when under review, and 2) which rules and regulations (or lack thereof) govern these audit contractors.
 
This recording provides a clear overview of:
  • Which DMEPOS supplies are most prone to audit and why.
  • The top reasons claims are denied.
  •  How to avoid common billing errors that could be increasing your odds of being audited.
  • Your options if you find yourself caught in the throes of a ZPIC or RAC audit.
  • Simple procedures you can implement to protect yourself and your business.
  • What to expect from audit contractors in 2011. 
This is NOT your typical “how to submit an appeal” training session. Don’t miss out!

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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.

 
Suppliers will learn which documents must be in their files to support:
  • Maintenance and Service,
  • Billing for Contents,
  • Delivery, and
  • Replacement Equipment. 
Andrea also discuss what to do in cases where you identify:
  • Illegible Physician Signatures,
  • Errors on CMNs, and
  •  Insufficient Chart Notes.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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?

 
During this webinar Andrea Stark takes a look at what the KX modifier means for various policies, and how to implement realistic documentation practices to minimize your risk of recoupments.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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.

 
Do you know if the documentation you have on file supports your patient’s usage?
Would you be able to prove medical necessity in the event of an audit?
 
In this recording, Andrea Stark discusses: what suppliers need to know to successfully submit claims for diabetic test strips and lancets, what the physician must document in the patient’s medical record, and which documents must be in your files to support utilization above Medicare’s usual maximum amounts.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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

 

Price: $ 99.00

 

 

                  

 

 

 

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:

  • Can we get a valid ABN without a patient signature?
  • Does the physician always have to be the one who completes the CMN?
  • Can we collect cash from the patient up-front and still accept assignment?
  • If Medicare will pay for an item, can I still offer it at a retail only level? What can I charge?
  • I've created a form that the physician has filled out and signed. Will it hold up during an audit?
  • Can I provide services to a patient in a SNF or home health episode and bill the agency?

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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:

  • Are you proactively or reactively pursuing collections?
  • Are you taking advantage of collecting payments when you have the most leverage?

She’ll also provide you with several keys to successful patient collections, including:

  • Easy to integrate front-end policies and procedures that aid in collection efforts.
  • How to determine where to focus collection efforts and when to just let it go.
  • How to measure collection momentum and ensure productivity. 

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:

  • Is the patient worth the credit risk?
  • What other payment options are available?

 

Get a Digital Recording: $ 49.00

 

 

                  

 

 

 

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:

  • Flush out  process strengths and weaknesses simply...with a piece of paper and a crayon;
  • Develop processes that reduce billing errors and the drag on your reimbursement talent;
  • Assess performance and return on effort in real time.

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.

 

Price: $ 99.00

 

 

                  

 

 

 

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:

  • Current Medicare signature requirements;
  • What constitutes an acceptable vs. unacceptable signature;
  • Guidelines for signature logs and attestation statements;
  • What documents must be signed and exceptions to the legible signature rule;
  • What is required for Electronic Signatures;
  • What happens if a contractor deems a signature illegible and the actions you can take.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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! 

  • Prescreen Claims to Avoid Denials: Prevent unnecessary denials by knowing what to look for before submitting a claim.
  • Benefit from Transmitting Claims Electronically: Sending claims electronically can reduce the burden on your AR department. Learn how to read electronically generated reports for instant insight on the status of your claims.
  • Develop Your Own AR Strategy: Effectively work denials, prioritize your AR, and maximize your efforts through better reporting and data analysis.

After listenting to this webinar you’ll have the insight and tools necessary to streamline your claim submission process and decrease turn-around times.

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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:

  • Oxygen (initial & revised CMNs, recertification, testing modalities, etc.)
  • Lymphedema Pumps
  • Seat Lift Mechanisms
  • TENS
  • Enteral Nutrition (formulas, pumps, feeding supply kits, etc.)

Learn when to use DIFs, WOPDs, Detailed Orders and more!

 

Get a Digital Recording: $ 99.00

 

 

                  

 

 

 

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