Getting Respiratory Suppliers Ready for the Return of Medicare Audits
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Recorded on August 13, 2020
Presented by: Andrea Stark, MiraVista, LLC
Moderated by: Liz Beaulieu, HME News
Make no mistake, CMS is chomping at the bit to resume medical review, prior authorization, and other enforcement actions to root out bad actors. As it stands, they plan to resume business-as-usual on August 3, 2020.
CMS will scrutinize the claims suppliers are creating today, particularly those with the CR modifier indicating application of the relaxed enforcement standards. That is why suppliers must:
Is your staff properly applying the modified standards currently in place?
Can your claims withstand the coming audits?
Do you have a post COVID-19 plan?
Don’t worry if you missed us live! The recorded event includes all handouts and the full event recording including a robust Q&A session! Just a few of the topics we covered include:
Presented by: Andrea Stark, MiraVista, LLC
Moderated by: Liz Beaulieu, HME News
Make no mistake, CMS is chomping at the bit to resume medical review, prior authorization, and other enforcement actions to root out bad actors. As it stands, they plan to resume business-as-usual on August 3, 2020.
CMS will scrutinize the claims suppliers are creating today, particularly those with the CR modifier indicating application of the relaxed enforcement standards. That is why suppliers must:
- Adapt intake and eligibility processes to properly apply the relaxed standards.
- Incorporate CMS’s rapid-fire changes and clarifications.
- Prepare for re-entry to regular eligibility, documentation, and review standards.
Is your staff properly applying the modified standards currently in place?
Can your claims withstand the coming audits?
Do you have a post COVID-19 plan?
Don’t worry if you missed us live! The recorded event includes all handouts and the full event recording including a robust Q&A session! Just a few of the topics we covered include:
- Screening respiratory product orders and medical records using the pandemic-relaxed medical necessity threshold.
- Including the correct modifiers (e.g. CR and KX) and narratives for successful claim processing.
- Transitioning pandemic patients when the relaxed standards end.
- Developing an audit response strategy to avoid recoupments (or worse).