A Review of 'Lists' and What you Need to Know About Codes for Reimbursement

Published in Member Communities on February 14, 2022

In this episode of Industry Matters, Senior Director of Payer Relations for VGM Government, Ronda Buhrmester, and Dan Fedor, Director of Reimbursement and Education for U.S. Rehab, talk about lists - the master list, prior authorization, face to face, and written order prior to delivery. They cover the differences between the lists, recent changes with codes being added and removed from lists, the timing of additional changes, and what all of these updates mean for your business. 

Listen below or click here.

Additional Resources:

Standard Documentation Requirement Policy
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55426

MLN SE 20007
https://www.cms.gov/files/document/se20007.pdf

UPCOMING WEBINAR
Whaaaaat - CMS Announces the Codes on the Master List, Required List, and Those
March 24, 2022
1:00 PM Central
https://attendee.gotowebinar.com/register/795866519440662799?source=podcast


TAGS

  1. billing & reimbursement
  2. complex rehab
  3. dmepos
  4. hme
  5. podcast
  6. reimbursement
  7. vgm
  8. vgm government

From Our Experts

The Role of DMEPOS in Value-Based Healthcare thumbnail The Role of DMEPOS in Value-Based Healthcare Explore how DMEPOS providers contribute to value-based care by enhancing patient outcomes, reducing costs, and promoting healthcare transformation. VGM Expands Expertise with Industry Consultants thumbnail VGM Expands Expertise with Industry Consultants VGM & Associates is excited to announce the expansion of its VGM Professional Services team with the addition of Steve Baker, Brian Bersano, & Tonya Williams. A Data-Driven Approach to Unlocking Growth in the HME Industry thumbnail A Data-Driven Approach to Unlocking Growth in the HME Industry Discover how to enhance your HME business growth with data-driven strategies with actionable tools and resources. VGM & Associates Launches “IM: Unfiltered” Podcast Series thumbnail VGM & Associates Launches “IM: Unfiltered” Podcast Series VGM & Associates is proud to announce the launch of its new podcast series, IM: Unfiltered, created with members of the VGM community in mind. This dynamic new series delivers candid conversations, expert insights, and timely updates that matter most to home medical equipment (HME) providers. Expanding Your DME Offerings for Breastfeeding Awareness Month thumbnail Expanding Your DME Offerings for Breastfeeding Awareness Month Discover how DME providers can celebrate Breastfeeding Awareness Month in August 2025 by expanding their offerings to include mother/baby products. Key Insights from MedPAC's July Data Book for DME Providers thumbnail Key Insights from MedPAC's July Data Book for DME Providers Learn about the evolving Medicare landscape, the impact of an aging population, and the shift towards home healthcare from MedPAC's July 2025 Data Book. Announcing the Finalists for the 2025 O&P Woman of the Year Award thumbnail Announcing the Finalists for the 2025 O&P Woman of the Year Award OPGA is thrilled to announce the finalists for the 2025 O&P Woman of the Year Award. These remarkable women will be honored during the AOPA National Assembly, taking place on Thursday, Sept. 4, at 9:50 a.m. in the Product Preview Theater (PPT) within the exhibit hall. Revolutionizing Independent Living: How Smart Home Technologies Are Reshaping Accessibility thumbnail Revolutionizing Independent Living: How Smart Home Technologies Are Reshaping Accessibility As the global population ages and the demand for accessible housing accelerates, smart home technologies are emerging as essential tools, not just for convenience, but for safety, autonomy, and well-being. Today's smart products, like Autoslide's automatic door systems and Yale's smart locks, are more than gadgets. They are assistive technologies designed to empower people with limited mobility.