I am new to Medicare DME and my claims are not processing as I am getting several error messages including my CEDI does not match my taxpayer ID, NPI or PTAN. What do I do? The CEDI is a CMS opera...
Paul Kesselman
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Posts made by Paul Kesselman
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I am getting messages that my CEDI and Tax ID Dont Matchposted in Compliance and reimbursement pearls
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Can I be paid for an AFO for my patient who recently passed away?posted in Compliance and reimbursement pearls
A common scenario occurs when an order is billing filled, or after being completed but not yet delivered, the patient passes away. Is the provider stuck? Can the vendor still insist on payment?&nbs...
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Do I need a contract with KevinRoot and my other vendors?posted in Compliance and reimbursement pearls
As of November 2022, the National Supplier Clearinghouse ceased to exist and the DMEPOS enrolment was divided into two new enrollment carries NPE East (administered by Novitas) and NPE West (...
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DME Policies for Medicare Advantage (part C) Policyholdersposted in Compliance and reimbursement pearls
Medicare Part C plans while legally required to provide coverage to the same services/products as FFS Medicare have a great deal of latitude as to how they provide those services. Medicare Advantag...
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Medicare Fee for Service (FFS) DME Policyposted in Compliance and reimbursement pearls
Unlike local FFS Medicare, which often have different Local Coverage Determinations (LCD), all four DME MAC, share identical coverage policies. That is if something is covered in Region A in the No...
