The Modern Health Care Back Office

Following our recent webinar on "Preventing the Top 5 HME Denials," we received numerous questions from attendees about specific denial scenarios. Andrea Stark from Miravista and Joey Graham from Prochant reconvened to answer them in a dedicated follow-up session. Here are some of the key questions and expert insights shared:

1. Handling PECOS Denials: Question: When dealing with a PECOS denial due to the doctor no longer being certified, can I obtain an updated order signed by a different certified doctor after the denied date of service?
2. MAP Process for New Enrollees: Question: What recourse is available after the initial 90-day window under the recently changed MAP process for new enrollees with active service?
3. Timely Filing and Doctor Coordination: Question: How can we ensure timely filing to avoid denials related to delayed submission of information from doctors?
4. Managing Denial Activity: Question: Is high denial activity problematic with Medicare?