Posts made by Paul Kesselman

• I am getting messages that my CEDI and Tax ID Dont Match

  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...

  posted in Compliance and reimbursement pearls

  PK

  Paul Kesselman
  10/25/23, 7:54 AM
• Can I be paid for an AFO for my patient who recently passed away?

  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...

  posted in Compliance and reimbursement pearls

  PK

  Paul Kesselman
  10/4/23, 11:51 AM
• Do I need a contract with KevinRoot and my other vendors?

  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  (...

  posted in Compliance and reimbursement pearls

  PK

  Paul Kesselman
  9/19/23, 8:08 AM
• DME Policies for Medicare Advantage (part C) Policyholders

  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...

  posted in Compliance and reimbursement pearls

  PK

  Paul Kesselman
  9/6/23, 3:54 PM
• Medicare Fee for Service (FFS) DME Policy

  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...

  posted in Compliance and reimbursement pearls

  PK

  Paul Kesselman
  8/23/23, 4:06 PM