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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!
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.
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:
The Future of Diabetic Supplies: Are You In or Out? Digital Recording
Recorded On: May 7, 2013
Protecting Your Sensitive Data Without Breaking the Bank Digital Recording
Recorded On: April 9, 2013
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:
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!
Don't Shoot the Messenger: An Operational Guide to Managing Front-End Denials Digital Recording
Breast Care Providers in the Line of Fire. Protect Your Revenue. Get Prepared. Digital Recording
Recorded On: February 26, 2013
Oxygen & PAP Coverage Changes Prompt Procedure Modifications Digital Recording
Recorded On: February 21, 2013
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.
Making Sense of Tax Changes: A 2013 Update for HME Owners & Managers Digital Recording
Recorded On: January 28, 2013
A Look at the Year Ahead: Legal & Reimbursement Challanges & Opportunities for 2013 Digital Recording
Recorded On: January 15, 2013
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
Finding the Right Fit: An Executive's Tale of Hiring and Firing Billing Personnel Digital Recording
Recorded: December 4, 2012
Topics to be discussed include:
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.
An Industry Update: What Does CMS Have Up It's Sleeve Digital Recording
Recorded: November 27, 2012
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:
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:
The information to be discussed during this event impacts suppliers of all product types.
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:
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:
What Does CMS Have Up Its Sleeve? Digital Recording
Recorded: May 24, 2012
This event is co-hosted by:
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:
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.
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.
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.
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 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!
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?
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.
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.
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
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:
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.
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:
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.
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!