DME MAC Jurisdictions B & C Fort Lauderdale, FL Mega Workshop
June 7, 2023 | 8 am - 4 pm
Location:
Sheraton Suites Fort Lauderdale at Cypress Creek
555 N.W. 62nd St.
Fort Lauderdale, FL 33309
Workshop Session Descriptions
Session One – 8-9:15 am ET (All Attendees)
Medicare Updates
Everyone will start their workshop day with an overview of recent changes and updates to the Medicare program.
Session Two – 9:30-11 am ET (Select One)
Documentation Requirements for DME & Supplies
This session provides an overview of standard documentation requirements in the Supplier Manual and Policy Article A55426. DME suppliers will ensure that they are aware of documentation requirements regarding amendments, corrections to medical records, signature requirements, standard written orders, continued use vs. continued need, request for refills, and proof of delivery.
Documentation Requirements for Orthotics & Prosthetics (O&P)
This session provides an overview of medical record documentation from an O&P perspective, including information on written order prior to delivery, face-to-face encounters, and the differences between custom fit and custom-fabricated orthotics.
Session Three: 12:15-1:15 pm ET (Select One)
Successful Claim Submission
This session provides basic information on eligibility, the intake process, and the claim submission process. We recommend this course for new suppliers and employees whose roles have recently changed in your company.
Orthoses & Prosthetics – Prior Authorization, Errors, and Resolutions
This session looks at the recent updates for items on the Required Prior Authorization list and shares best practices for submitting successful Prior Authorization Requests. We will also share examples of the most common reasons for non-affirmations and tips on how to avoid them.
Glucose Monitors Updates, Errors, and Resolutions
This session reviews the latest updates and information about Medicare coverage and documentation requirements for glucose monitors and continuous glucose monitors (CGMs). We will also share information on common claim submission errors and resolutions.
Session Four – 1:25-2:25 pm ET (Select One)
Self-Service Tools
This session provides an overview of the free self-service solutions available on the CGS website. We will discuss how these services provide the answers you need in the fastest and most accurate way possible without calling the Provider Contact Center. Attendees will learn ways to find information on claim submissions, claim denials, and claim denial resolutions through use of these website tools.
Auditing Entities
This session reviews who the auditing contractors are, the role of the auditing contractors, and how to prepare for an audit.
Oxygen Local Coverage Determination (LCD) Updates
Join this session to learn about the latest updates to the Oxygen & Oxygen Equipment LCD and Policy Article (PA).
Session Five – 2:35-3:30 pm ET (Select One)
Advanced Beneficiary Notices (ABNs) and Upgrades
This session reviews financial implications associated with ABNs, as well as when and how to provide ABNs to Medicare beneficiaries and submit claims for upgrades.
Commodes Errors and Resolutions
This session will provide a brief overview of the coverage criteria for commodes. We will also review the top claim denials found in the documentation and the steps needed to resolve them.
Therapeutic Shoes for Persons with Diabetes Updates, Errors, and Resolutions
This session provides detailed information on how to resolve the top claim denials and documentation errors. We will also address the parameters of the therapeutic shoes for persons with diabetes benefits and certifying physician requirements.
Session Six – 3:30-4 pm ET (All Attendees)
Questions & Answers (Q&A)
End your workshop day by joining the Provider Outreach & Education Team for a Q&A session.
Save your spot and register today!