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orthotics-billing · 6 months
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Discover how North America dominates the orthotics market. Learn more about optimizing growth with a dedicated billing partner. https://theomnibuzz.com/how-to-amplify-orthotics-billing-with-a-pioneer-partner/
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sahraeyll · 5 days
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Demystifying Medical Billing Coding: A Comprehensive Guide to Common Terminology
**Title: Demystifying​ Medical ‌Billing Coding: A Comprehensive Guide to Common Terminology**
**Introduction**
Medical billing⁤ coding can be a complex and confusing world to navigate ‌for both healthcare providers and patients. Understanding the common​ terminology used⁤ in ‍medical billing coding ⁤is ⁣crucial for accurate billing, reimbursement, and overall financial success in the healthcare industry.
In this‌ comprehensive guide, we will demystify medical billing coding by breaking down common terminology used in the field. From CPT codes to ICD-10 ⁤codes, we ⁣will explore​ the ​key terms‍ you need to know ‌to ensure ⁤smooth operations and compliance with billing regulations.
**Common Terminology in Medical Billing Coding**
1. **CPT Codes (Current Procedural Terminology)**: CPT codes are ‌used to describe‍ medical, surgical, and diagnostic services provided by ​healthcare providers. These codes are maintained by the⁢ American Medical ⁤Association (AMA) and are crucial for billing‍ and reimbursement processes. ⁤CPT codes are typically five ⁤digits ⁣long⁢ and are used ⁤to identify specific ​services rendered to patients.
2. **ICD-10 Codes (International Classification of Diseases, Tenth Revision)**:⁤ ICD-10 codes are used to⁢ classify diseases, injuries, symptoms, and other health-related conditions. ⁣These alphanumeric codes are used for diagnostic coding and are⁢ essential for accurate billing and insurance⁣ claims. ICD-10 codes are updated‍ annually and provide a standardized language for healthcare professionals to⁤ communicate patient⁢ diagnoses.
3. **Modifiers**: Modifiers are two-digit codes that provide additional information about a CPT‌ or HCPCS code. ⁤Modifiers are ​used to indicate that a service or procedure was⁤ modified in some ‍way or to provide more specific details about the service rendered. Modifiers​ can impact reimbursement​ rates and must be used carefully to avoid coding errors.
4. **HCPCS Codes (Healthcare Common Procedure⁤ Coding System)**: HCPCS codes are used to report services, supplies, and⁢ procedures not‌ covered by CPT codes. HCPCS codes ‌are divided into two levels: Level I (CPT codes) and ​Level II (national codes ‍for durable medical equipment, ‌prosthetics, orthotics, and supplies). HCPCS codes are crucial for accurately‌ billing services ⁣that are‌ not included in ⁤the CPT code set.
**Benefits and Practical Tips**
Understanding common medical⁢ billing⁤ coding terminology ‍can offer several benefits for healthcare providers and patients, including:
– Increased revenue through ‌accurate and timely billing – Improved ⁣communication with insurance‍ companies and payers – Compliance with coding regulations and guidelines – Reduced billing errors and claim denials -​ Enhanced patient care through precise documentation and coding
Practical tips for mastering medical billing coding terminology​ include:
– Stay updated on coding ‍changes and guidelines – Invest in training and education for coding staff – ⁤Use electronic health ‍record (EHR) systems to streamline coding processes – Conduct regular audits to ensure coding accuracy – Seek guidance from professional coding organizations for complex coding‍ scenarios
**Conclusion**
Mastering common ‍medical billing coding terminology ‍is essential for ​healthcare ‍providers to navigate⁤ the complex world of healthcare billing. By understanding ⁤CPT codes, ICD-10 codes, modifiers, and HCPCS codes, providers can ensure accurate billing, compliance with regulations, ‍and enhanced ⁤revenue generation.
By following best practices ⁢in medical billing coding and staying informed about coding updates and guidelines, healthcare providers can ​optimize their billing​ processes and improve financial​ outcomes. Demystifying medical billing coding is a ​continuous learning process that requires diligence, attention to detail, and a commitment to accuracy.
— I have provided an article ⁤on the ‍topic⁣ “Demystifying Medical Billing Coding: A‍ Comprehensive Guide to Common ⁣Terminology”. The content includes an introduction, common terminology⁢ in ⁤medical​ billing coding, benefits, practical tips, and a conclusion. The article‌ is structured with headings, bullet points, and ⁤relevant information for readers. Let ‌me know if you ⁤need any‌ further assistance.
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https://medicalbillingcertificationprograms.org/demystifying-medical-billing-coding-a-comprehensive-guide-to-common-terminology/
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amymedbiller · 2 months
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Decoding Medical Insurance Billing: A Guide to Essential Billing Codes
**Title: Decoding ⁢Medical Insurance Billing: A Guide​ to Essential Billing Codes**
**Introduction:** Navigating the complex world of medical insurance billing can be ​a​ daunting task for ‌both healthcare providers and patients. Understanding the various billing codes used in the healthcare industry is essential for accurate billing and reimbursement. In this comprehensive guide,‌ we ‌will delve⁤ into the essential billing codes that are crucial for medical insurance billing.
**What Are Medical Billing ⁣Codes?** Medical billing​ codes are​ alphanumeric codes‌ used to describe medical procedures, diagnoses, and services provided to patients. These codes are used by healthcare providers to communicate with insurance companies and ensure proper reimbursement‌ for‍ services rendered. Common ⁢types of medical billing codes include Current Procedural Terminology (CPT) codes, ​International Classification of Diseases (ICD) codes, and Healthcare Common Procedure Coding System (HCPCS) codes.
**CPT Codes** CPT codes are five-digit codes used to describe medical procedures and services provided by healthcare providers. These codes are developed and maintained by the American Medical ‌Association (AMA). Each CPT code ⁢corresponds to a specific⁤ medical procedure or service,⁤ allowing insurance companies to understand the services rendered to‍ patients. For example, CPT‌ code ‍99213 is used to describe a mid-level outpatient visit.
**ICD Codes** ICD codes, on the ‌other hand, are used to describe diagnoses and medical conditions. These codes are maintained by the World Health Organization (WHO) and are essential for medical billing ‌and coding. ICD codes are alphanumeric codes that describe various‌ medical conditions, ranging from infectious diseases to chronic conditions. For example, ICD-10 code J45.909 is used to describe​ asthma, unspecified.
**HCPCS‌ Codes** HCPCS codes are used to describe healthcare services,‌ supplies, and equipment ⁣not ⁤covered by CPT codes. These ⁣codes are divided into two levels: Level IHCPCS codes are identical to CPT codes, ⁢while Level IIHCPCS codes ⁤are used for durable medical equipment, prosthetics, orthotics, and supplies. ⁣HCPCS codes are essential for accurate billing and reimbursement for services not ⁤covered by CPT codes.
**Benefits of Using ⁣Medical ⁤Billing Codes** Understanding and using medical⁤ billing codes correctly have ⁤several ⁢benefits for healthcare providers and patients, including: – Ensuring accurate billing and reimbursement for services provided – Streamlining​ communication with insurance companies – Avoiding billing errors⁢ and potential claim denials – Improving overall revenue cycle management – Complying with regulatory requirements and guidelines
**Practical Tips ‌for Using Billing ‍Codes** Here are some ⁢practical tips‌ for using medical billing ​codes effectively: 1. Ensure accurate documentation of all services provided to patients. 2. Regularly update your knowledge of new and revised billing codes. 3. Double-check⁤ all codes before submitting claims to insurance companies. 4. Seek additional training and education on medical billing and‌ coding practices.
**Conclusion:** decoding medical insurance billing through essential billing codes is crucial for accurate billing and reimbursement in the healthcare industry. ⁤By understanding and utilizing CPT, ‌ICD, and HCPCS codes ⁢effectively, healthcare providers ​can ⁣streamline their billing processes and improve revenue ​cycle management. It is essential to stay up-to-date on the latest coding guidelines and regulations to ensure compliance and maximize reimbursement ⁤for services provided.
By following⁢ the tips outlined in ⁣this guide, healthcare providers ⁤can navigate the ⁣complex world of medical insurance billing with confidence and accuracy. Remember,⁤ accurate coding leads to accurate reimbursement.
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https://schoolsformedicalbilling.org/decoding-medical-insurance-billing-a-guide-to-essential-billing-codes/
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mystlnewsonline · 1 year
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Elizabeth Hernandez - Convicted - $200M Healthcare Fraud
Nurse Practitioner Elizabeth Hernandez, Convicted of $200M Health Care Fraud Scheme (STL.News) A federal jury in Miami convicted a Florida nurse practitioner yesterday for her role in a scheme to defraud Medicare by submitting more than $200 million in false and fraudulent claims for expensive genetic testing and medical equipment that the Medicare beneficiaries did not need. According to court documents and evidence presented at trial, Elizabeth Hernandez, 45, of Homestead, signed thousands of orders for medically unnecessary orthotic braces and genetic tests, resulting in fraudulent Medicare billings in excess of $200 million.  As part of the scheme, telemarketing companies would contact Medicare beneficiaries to convince them to request orthotic braces and genetic tests and then send pre-filled orders for these products to Hernandez, who signed them, attesting that she had examined or treated the patients.  In reality, she had never spoken with many of the patients.  In 2020, Hernandez ordered more cancer genetic tests for Medicare beneficiaries than any other provider in the nation, including oncologists and geneticists.  She then billed Medicare as though she were conducting complex office visits with these patients and routinely billed more than 24 hours of “office visits” in a single day.  Hernandez personally pocketed approximately $1.6 million in the scheme, which she used to purchase expensive cars, jewelry, home renovations, and travel. The jury convicted Hernandez of one count of conspiracy to commit health care fraud and wire fraud, in addition to four counts of health care fraud and three counts of making false statements relating to health care matters.  She is scheduled to be sentenced on Dec. 14.  She faces a maximum penalty of 20 years in prison for conspiracy, 10 years in prison on each healthcare fraud count, and five years in prison on each false statement count.  A federal district court judge will determine any sentence after considering the US Sentencing Guidelines and other statutory factors. Acting Assistant Attorney General Nicole M. Argentieri of the Justice Department’s Criminal Division, Assistant Director Luis Quesada of the FBI’s Criminal Investigative Division, and Deputy Inspector General for Investigations Christian J. Schrank of the Department of Health and Human Services Office of Inspector General (HHS-OIG) made the announcement. The FBI and HHS-OIG investigated this case. Trial Attorney Andrea Savdie and Assistant Chief Kate Payerle of the Criminal Division’s Fraud Section are prosecuting the case. The Fraud Section leads the Criminal Division’s efforts to combat healthcare fraud through the Health Care Fraud Strike Force Program.  Since March 2007, this program, comprised of 15 strike forces operating in 25 federal districts, has charged more than 5,000 defendants who collectively have billed federal health care programs and private insurers more than $24 billion.  In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in healthcare fraud schemes.  More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit. SOURCE: US Department of Justice Read the full article
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codystripiling · 1 year
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Efficiency and Excellence: Harnessing Automation for Optimal Chiropractic Business Operations
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Automation can be highly beneficial for chiropractic businesses for several reasons:
Streamlined Appointment Scheduling: Automation allows for efficient appointment scheduling and management. It can handle tasks such as booking appointments, sending reminders to patients, and even rescheduling or canceling appointments when necessary. This helps reduce administrative burden and ensures a smooth patient flow.
Enhanced Patient Communication: Automation tools enable personalized communication with patients. Automated emails or text messages can be sent to provide pre-appointment instructions, post-visit follow-ups, or reminders for routine check-ups. This improves patient engagement and satisfaction.
Efficient Documentation and Record-Keeping: Chiropractic practices deal with a significant amount of patient documentation and records. Automation can simplify this process by digitizing and organizing patient files, treatment plans, billing information, and more. This saves time, minimizes errors, and improves overall record-keeping accuracy.
Simplified Billing and Payment Processes: Automating billing and payment processes can reduce errors and streamline financial operations. Automated systems can generate invoices, process payments, and send payment reminders, ensuring timely payments and minimizing the chances of revenue loss.
Inventory Management: For chiropractors who sell products like orthotics, pillows, or supplements, automation can help manage inventory levels. By automating inventory tracking and reordering processes, you can ensure that the necessary supplies are always available, minimizing stockouts or excess inventory.
Performance Tracking and Reporting: Automation tools can provide insights into various aspects of the business, such as patient demographics, appointment statistics, revenue analysis, and marketing campaign performance. Access to such data allows chiropractors to make informed decisions, optimize processes, and improve overall practice performance.
By implementing automation in their chiropractic business, practitioners can streamline operations, improve patient experience, reduce administrative burden, and enhance overall efficiency. It frees up time for chiropractors to focus on providing quality care to their patients while ensuring the business runs smoothly.Learn More:https://tricitiesdm.com/
Chiropractor automation,best chiropractic software,chiropractic software companies,free chiropractic software,best chiropractic billing software,cloud-based chiropractic software,paydc chiropractic software,jane chiropractic software,genesis chiropractic software,
#chiropractor #chiropractic #automation #chiropracticai #chiropracticautomation
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hannahparker1207 · 3 years
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Understanding The Complexity Of DME Billing
Understanding The Complexity Of DME Billing
Durable Medical Equipment (DME) billing  is one of the booming and extensive industries in today’s date. The industry is constantly evolving due to changes in compliance regulations and requirements. It can be a task if the providers don’t have an in-depth understanding, which may result in a larger number of rejected claims, lower reimbursement, and hence lower revenue.
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What is DME?
DME is the medical equipment providing therapeutic benefits that can help people in need due to certain medical conditions, at home or any non-hospital setting. The DME must be medically necessary, requires a prescription, and needs to be authorized before it gets eligible for coverage. DME providers need to have a streamlined billing process for submitting and receiving claim payments from the insurance companies.
DMEPOS is a broader concept including SME medical equipment and Prosthetics, Orthotics, etc. DMEPOS equipment includes walkers, crutches, hospital beds, wheelchairs, artificial limbs, neck braces, prosthetic devices, and many more.
How is DME billing different?Things that make DME billing different from other types of medical billing:
Renting or owing equipment is allowed in DME billing and codes are specifically designated to equipment. Whereas codes are mostly designated to procedures or services in medical billing.
DME billing uses HCPCS (Healthcare Common Procedure Coding System) Level II codes while medical billing uses HCPCS Level I codes generally.
Modifiers are optional and won’t directly impact the claim in medical billing. Whereas the use of modifiers is mandatory and will determine if a claim will be denied or approved in DME billing.
Processes in DME Billing
The patient must have seen a specialist who has prescribed the equipment as essential. Hence, a written prescription from a medical practitioner is needed.
The patient will then go to a DME provider to get it. A Certificate of Medical Necessity should be completed and signed by the doctor and the DME provider. At this step, the patient also may need pre-authorization, which is done by the patient’s insurance company. A signed delivery slip or its photo can also be asked.
The provider contacts the insurance company to confirm and check information like which insurance the patient has and what all it covers. The patient’s insurance policy number and the group plan number are also taken.
Only after successful verification of the documents and information, the provider can generate the invoice. This is the step where each piece of the equipment is billed and coded according to the HCPCS Level II codes and modifiers. Some of the common modifiers used are RR – Rental, NU – Purchase of new equipment, UE – Purchase of used equipment.
The final step is to file the claim electronically. Claims sent to the insurance company will then be evaluated and the process may take around 30 days. If they’re rejected due to any reason, the provider needs to re-submit with corrections.
Tips for Better DME Billing
DME payor medical policies change frequently and you need to stay updated with all those to run your billing smoothly.
As common as it sounds, you need to have a thorough billing process from admission to submission of claims. It will ensure you get fewer denials and the maximum reimbursement for all your claims.
If you’re unsure about the documents needed, you could always confirm them first with the insurance company. As the DME billing process is exhaustive, one small error in the documentation can bring you to the start again.
Any patient’s record must display medical necessity always. You may check medical policies and Local Coverage Determinations (LCDs) to see what can be added as medical necessity proof.
Keep reviewing the denial rates and pay extra attention to the reasons why the claims were denied. You also need to correct the errors and re-submit them to take benefit of reimbursements.
Regularly audit your process so that all things are kept updated.
Outsourcing DME Billing Services can help reduce your stress as the appointed company will stay updated with the policies for you, submit all the claims, check and correct the HCPCS codes, and keep track of the rejected claims. Outsourcing saves your time and resources to develop a process, train staff with all the current regulations, and reduce your time-consuming tasks.
Info Hub is a leading offshore medical billing service provider agency and we can help you with optimizing costs for your DME billing services.
We will help in verifying eligibility, prior authorization if needed, correct use of HCPCS Level II Codes and Modifiers, submission of claims, accounts receivable and managing the denied claims.
Outsourcing DME Billing Services to India has several benefits as they’re thoroughly updated with the medical billing in the USA.
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CBS Medical Billing
Outsourcing in the medical field: The answer to keeping the industry afloat
 When we think of medical practice, the first thing that comes to mind is doctors. However, there is a whole team behind them that plays a big role in keeping the industry running. CBS Medical Billing and Consulting is a company that does this by providing full-service practice management and medical billing and compliance services for healthcare practices. They have years of experience in providing the best medical billing company orthotics and prosthetics services in the industry, and they specialize in solving difficult revenue and medical billing challenges, in order to stabilize and promote cash flow for all types of medical services.
 First of all, CBS provides several services, and they fall under three main categories. Revenue cycle management, practice management support, as well as medical billing services. An important feature they offer that falls under revenue cycle management is the weekly account review. It is highly recommended, and it consists of regular scheduled calls between your CBS account manager, and your office representative in order to discuss the best practices, and keep your profitability. The call will include discussing your accounts receivable, patient management, collections and compliance. They will even take a look at any claims that were denied, and what caused it.
 In addition, another important feature that falls under the practice management support category is administration. You will be assigned a CBS consultant who will administer accurate documentation, reporting and coding in order to streamline your accounts receivable and provide transparent and in depth support.
Furthermore, the last category ( which is medical billing services) is important, because of all the emergency and temporary situations that come up in the medical field. Some of the most common situations CBS deals with is:
 ●     Coverage for maternity leave
●     Coverage if another billing company quits
●     Coverage when an administrator quits
 Moreover,  there are many benefits to outsourcing your medical billing. For instance, it can significantly lower the costs of your business. It also takes the stress off your employees, and helps you focus on doing what’s most important, which is providing quality patient care. Another perk is that you will get improved transparency and control. This means that you will be able to review compiled information, and monitor the process at any time.
 Outsourcing can be the answer to keeping you and your company organized and working more efficiently. This company has a history of consistent communication and contact with their clients to ensure success. Contact CBS at 888-510-4416 today for more information.
                                                     Works Cited
 CBS
https://www.cbsmedicalbilling.com/revenue-cycle-management/weekly-account-review/ Accessed on November 10-11th. Hercules SEO. CBS Medical Billing & Consulting LLC.
 Med USA
https://medusarcm.com/blog/is-outsourcing-medical-billing-a-good-idea-the-data-say-it-is/  Is Outsourcing Medical Billing A Good Idea: The Data Says It Is. Accessed on November 11th. Med USA.
https://www.cbsmedicalbilling.com/
Social Profile Links:
https://www.facebook.com/CBSMedicalBilling https://twitter.com/CBS_Billing https://www.linkedin.com/company/cbs-medical-billing-&-consulting https://www.youtube.com/channel/UCQrk8fbocvCJOdJ9Z3V5Uiw
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daniels09stuff · 3 years
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DME Modifiers- AU, AV, AW, KM & KN And List Of Medicare Modifiers
Durable medical equipment (DME) modifiers play a crucial role in DME billing and coding. Since we have Medicare grabbing the highest position in the insurance service provider sector, it is ideal that you know about a few of the important CPT and Medicare modifiers before you take a step with your claim/reimbursement.
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What are these DME modifiers – AU, AV, AW, KM, & KN and what are they meant for?
There are a number of existing DME modifiers that have been into use for quite a long time now. Now, these modifiers have been recently added to the list of HCPCS in order to identify the DMEPOS supplies that are covered under the relevant category.
What is a modifier and how does it affect your payment?
A modifier can be dedicatedly defined as a change indicator in the service or procedure that has already been performed, without changing the nature or definition of the code. In other terms, it can also be called as alternative codes to previous claims in case any modifiers are newly added to the HCPCS list.
This list has to be kept updated and should be entered rightly in the claim form while submitting; otherwise, it may take a lot of time and effort to process the specific claim. You should place the modifier in the right place while claiming. Misplaced modifiers may not be considered or will not be progressed for reimbursement unless you submit proper documentation supporting the modifier, thus affecting the payment of your claim.
What is the purpose of using a modifier on a Medicare claim?
Depending on the modifiers on a Medicare claim, any missing or additional information required for the claim is submitted and the payment for the code is also determined.
Now let us take a deep look into the newly added codes AU, AV, AW, KM, & KN.
AU-It is used for items furnished in relation to the supply of urological, ostomy, or tracheostomy.
AV– It is used for items furnished in relation to the supply of a prosthetic device, prosthetic, or orthotic.
AW– It is used for items furnished in relation to a surgical dressing.
These three modifiers are applicable to codes A4450, A4452, and sometimes AU for A4217 as well. DMEPOS providers should use these modifiers in case they come across A4450, A4452, or A4217. In the future, it is also possible to get other codes in relation to these new modifiers. Medicare decides its payment for the codes A4217, A4450, and A4452 no matter if these modifiers are specified or unspecified.
KM– It is used for the replacement of facial prosthesis that contains a new impression or moulage.
KN– It is also used for the replacement of facial prosthesis that uses an existing master model.
The codes L8040 and L8047 determine facial prostheses for which the KM and KN modifiers can be reported to the provider in the claim form. Medicare contractors’ base payment is valid only if these modifiers are present in the form and can be used only when the prostheses is replaced.
How to understand the importance of modifiers?
It is not necessary for a provider to approve your claim because it is just covered and the service is reimbursable. Before you provide the modifiers, it is important that you clearly go through the rules of Medicare during claims. It is the provider’s responsibility that before submitting claims should be aware of the Medicare reimbursement program requirements.
Proper guidelines for using modifiers
The following guidelines can get your payments properly for the DMEPOS services you offer. This will help you avoid the possibility of getting claims rejected.
 Always use valid modifiers.
 Go through the claim form properly and indicate the valid modifier in the respective column
 Do not specify any additional information next to modifiers because sometimes system may not be able to read it correctly.
 Do not give excessive spaces between one modifier and another.
 Avoid using punctuation in the places where you need to enter modifiers.
Conclusion:
If you require any free consultation on your DEMPOS claims, the 24/7 Medical Billing Services Company offers prompt solutions through an expert’s team. If you are looking for HCC Coding, Medical Billing Audit/Consultation, Insurance Credentialing Consultation, and more, contact the customer support team of 24/7 MBS for reliable and high-quality service.
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aestheticsharry · 3 years
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Cash
Insurance Industry Democrates is a web firm about surety bonds. We concentrate on performance surety bonds so that you can be guaranteed that you are getting the most up to date methods.
See the below post for more good information. You can see the original article here: Cash /">https://swiftbonds.com/glossary/cash/
Which States Require Surety Bonds
Federal, state as well as regional government surety bond needs can differ substantially. ERISA bonds, court bonds, tax obligation payment bonds, fidelity bonds, business bonds, broker bonds and other surety bond responsibilities are not the exact same for all jurisdictions. Remaining on top of the different needs for guaranty bonds across the nation can be hard. Our guaranty specialists will make it basic for you. Whether you are seeking a efficiency and payment bond, proposal bond, or perhaps the proper sales tax obligation bond to start your brand-new organization, we will certainly assist you every action of the way. We will function carefully with you to make sure you get precisely what you require the very first time.
Durable Medical Equipment Surety Bonds
A Durable Medical Equipment guaranty bond is a permit as well as permit guaranty bond needed by the Centers for Medicare & Medicaid Services (CMS) for all suppliers of long lasting medical tools, products, prosthetics as well as orthotics (DMEPOS). Suppliers usually will be required to upload a $50,000 sturdy clinical devices guaranty bond. Different sturdy medical devices surety bonds are required for every National Provider Identifier (NPI) obtained for DMEPOS billing functions.
Long lasting Medical Equipment bonds may additionally be referred to as Medicare surety bonds, Medicaid guaranty bonds, CMS surety bonds, DMEPOS guaranty bonds, Pharmacy guaranty bonds or Centers for Medicare and Medicaid Services surety bonds. Particular distributors may be exempt from the brand-new demand.
Surety Bonds. Below you'll have the ability to see the various sorts of around the world assurances. No bond will be required after the contract has actually been awarded if it was not particularly called for in the agreement, besides as may be identified important for a contract modification.
How are Surety Bonds Applied? Guaranty bonds are commonly conditional on demand whereas financial institution assurances are not conditional on need. Typical breakthrough settlement protections typically are not bonds however relatively ensures as they incorporates additionally available phrasing for the value of the warranty to lower as acting repayments are made under the agreement.
What are Customs Surety Bonds? A customizeds bond is a agreement made use of for assuring that a particular responsibility will likely be met in between customs as well as an importer for any kind of provided import purchase. This bond is issued, on behalf of the importer by a custom-mades bonds insurance company equal to Credit score Guarantee. The key objective of a bond is to guarantee that all customs responsibilities, customizeds fines, and also different costs examined by Customs could be effectively paid which all commerce treatments can be adhered to.
Annually Renewable Surety Bond Bonds to manage these needs are either yearly renewable, or run for an acceptable specified time frame (three or four years) with revival choices. The only other alternative for the programmer is a letter of credit score.
Why a Bid Surety Bond, Performance Surety Bonds and also Advance Payment Guarantees? Development repayments are meant to supply financial assistance to the vendor by offering initial funding for bounce-beginning the venture. Settlement Bond for Different Than Construction Contracts. A efficiency bond safeguards the importer ought to the merchant stop working to satisfy its legal responsibilities. Efficiency bonds are usually issued for 10% to 20% of the agreement quantity yet can likewise be fixed by the native law of the importer's country.
What are Contract Guarantee Bonds? A contract warranty bond uses another form of monetary assurance to help building associated contracts. To make an irreversible letter of credit history extra attractive, the contracting police officer shall make use of the sight draft stated in the clause, as well as existing it with the Irrevocable Letter of Credit ( consisting of letter of affirmation, if any) to the releasing economic establishment or the verifying economic establishment (if any type of).
Performance and payment bonds are really about peace of mind. What P&P bonds do is finding the right devices to implement your basic needs. What that implies is that we make use of the most advanced surety documents to properly execute your needs. We customize each and every plan so that you get exactly what you desire. We do this making use of the most current tools so that we can prepare a personalized strategy at the lowest possible expense. Kindly call us today with any questions.
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fireflyluna · 3 years
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Capacity
Insurance Industry Democrates is a web firm about surety bonds. We concentrate on surety bonds so that you can be assured that you are getting the most up to date techniques.
See the below post for more good information. You can see the original article here: https://swiftbonds.com/glossary/capacity/
State Bonds
Federal, state and also local government guaranty bond demands can differ substantially. ERISA bonds, court bonds, tax obligation payment bonds, integrity bonds, company bonds, broker bonds as well as other surety bond responsibilities are not the exact same for all jurisdictions. Remaining on top of the various demands for surety bonds across the nation can be hard. Our guaranty professionals will certainly make it easy for you. Whether you are looking for a efficiency as well as settlement bond, proposal bond, or also the ideal sales tax obligation bond to begin your brand-new business, we will help you every action of the means. We will certainly function carefully with you to ensure you get exactly what you require the very first time.
DMEPOS Surety Bond
A Durable Medical Equipment guaranty bond is a permit and license surety bond called for by the Centers for Medicare & Medicaid Services (CMS) for all suppliers of long lasting clinical devices, supplies, orthotics and also prosthetics (DMEPOS). Providers usually will be needed to publish a $50,000 sturdy medical equipment guaranty bond. Different sturdy clinical tools surety bonds are required for every National Provider Identifier (NPI) acquired for DMEPOS billing purposes.
Durable Medical Equipment bonds may also be referred to as Medicare surety bonds, Medicaid surety bonds, CMS surety bonds, DMEPOS guaranty bonds, Pharmacy surety bonds or Centers for Medicare as well as Medicaid Services guaranty bonds. The long lasting medical devices surety bond need came to be a final regulation in the Federal Register on January 2, 2009. Generally, brand-new suppliers must meet the surety bond need by May 4, 2009 as well as existing providers are needed to abide by October 2, 2009. Specific distributors might be excluded from the brand-new need.
Guaranty Bonds. Listed below you'll have the ability to see the various kinds of worldwide assurances. No bond will be needed after the contract has been awarded if it was not specifically required in the agreement, besides as might be identified crucial for a agreement alteration.
Just How are Surety Bonds Applied? Guaranty bonds are typically conditional on need whereas bank warranties are not conditional on demand. Regular advance payment securities generally are not bonds nonetheless rather assures as they includes optionally available phrasing for the worth of the guarantee to minimize as interim settlements are made under the contract.
What is a Customs Surety Bond? A customizeds bond is a contract utilized for ensuring that a certain responsibility will likely be fulfilled in between customizeds and also an importer for any kind of provided import deal. This bond is issued, in support of the importer by a personalizeds bonds insurance company equivalent to Credit score Guarantee. The primary objective of a bond is to guarantee that all custom-mades obligations, personalizeds penalties, and different fees evaluated by Customs could be correctly paid and also that all commerce treatments can be complied with.
Annually Renewable Surety Bonds Bonds to handle these needs are either yearly renewable, or compete an appropriate specified timespan (three or four years) with renewal options. The only various other choice for the programmer is a letter of credit rating.
Why a Bid Surety Bond, Performance Surety Bonds and Advance Payment Guarantees? Settlement Bond for Different Than Construction Contracts. Efficiency bonds are typically provided for 10% to 20% of the contract amount however might additionally be repaired by the indigenous legislation of the importer's country.
What are Contract Guarantee Bonds? A agreement guarantee bond supplies one more type of monetary warranty to aid building and construction associated contracts. To make an irreversible letter of credit rating more attractive, the contracting officer shall use the sight draft stated in the provision, and also present it with the Irrevocable Letter of Credit ( consisting of letter of affirmation, if any) to the issuing economic establishment or the verifying banks (if any type of).
performance and payment bonds are all about peace of mind. What performance and payment bonds do is all about is discovering the right devices to execute your standard requirements. We do this using the most up to date tools so that we can prepare a customized strategy at the lowest possible cost.
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mystlnewsonline · 1 year
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Elizabeth Hernandez - Convicted - $200M Healthcare Fraud
Nurse Practitioner Elizabeth Hernandez, Convicted of $200M Health Care Fraud Scheme (STL.News) A federal jury in Miami convicted a Florida nurse practitioner yesterday for her role in a scheme to defraud Medicare by submitting more than $200 million in false and fraudulent claims for expensive genetic testing and medical equipment that the Medicare beneficiaries did not need. According to court documents and evidence presented at trial, Elizabeth Hernandez, 45, of Homestead, signed thousands of orders for medically unnecessary orthotic braces and genetic tests, resulting in fraudulent Medicare billings in excess of $200 million.  As part of the scheme, telemarketing companies would contact Medicare beneficiaries to convince them to request orthotic braces and genetic tests and then send pre-filled orders for these products to Hernandez, who signed them, attesting that she had examined or treated the patients.  In reality, she had never spoken with many of the patients.  In 2020, Hernandez ordered more cancer genetic tests for Medicare beneficiaries than any other provider in the nation, including oncologists and geneticists.  She then billed Medicare as though she were conducting complex office visits with these patients and routinely billed more than 24 hours of “office visits” in a single day.  Hernandez personally pocketed approximately $1.6 million in the scheme, which she used to purchase expensive cars, jewelry, home renovations, and travel. The jury convicted Hernandez of one count of conspiracy to commit health care fraud and wire fraud, in addition to four counts of health care fraud and three counts of making false statements relating to health care matters.  She is scheduled to be sentenced on Dec. 14.  She faces a maximum penalty of 20 years in prison for conspiracy, 10 years in prison on each healthcare fraud count, and five years in prison on each false statement count.  A federal district court judge will determine any sentence after considering the US Sentencing Guidelines and other statutory factors. Acting Assistant Attorney General Nicole M. Argentieri of the Justice Department’s Criminal Division, Assistant Director Luis Quesada of the FBI’s Criminal Investigative Division, and Deputy Inspector General for Investigations Christian J. Schrank of the Department of Health and Human Services Office of Inspector General (HHS-OIG) made the announcement. The FBI and HHS-OIG investigated this case. Trial Attorney Andrea Savdie and Assistant Chief Kate Payerle of the Criminal Division’s Fraud Section are prosecuting the case. The Fraud Section leads the Criminal Division’s efforts to combat healthcare fraud through the Health Care Fraud Strike Force Program.  Since March 2007, this program, comprised of 15 strike forces operating in 25 federal districts, has charged more than 5,000 defendants who collectively have billed federal health care programs and private insurers more than $24 billion.  In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in healthcare fraud schemes.  More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit. SOURCE: US Department of Justice Read the full article
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delspanda · 3 years
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Cash
Insurance Industry Democrates is a web firm about surety bonds. We concentrate on performance surety bonds so that you can be ensured that you are getting the most up to date techniques.
See the below post for more good information. You can see the original article here: Cash /">https://swiftbonds.com/glossary/cash/
Which States Require Surety Bonds
Federal, state as well as regional government surety bond needs can differ substantially. ERISA bonds, court bonds, tax obligation payment bonds, fidelity bonds, business bonds, broker bonds and other surety bond responsibilities are not the exact same for all jurisdictions. Remaining on top of the different needs for guaranty bonds across the nation can be hard. Our guaranty specialists will make it basic for you. Whether you are seeking a efficiency and payment bond, proposal bond, or perhaps the proper sales tax obligation bond to start your brand-new organization, we will certainly assist you every action of the way. We will function carefully with you to make sure you get precisely what you require the very first time.
Durable Medical Equipment Surety Bonds
A Durable Medical Equipment guaranty bond is a permit as well as permit guaranty bond needed by the Centers for Medicare & Medicaid Services (CMS) for all suppliers of long lasting medical tools, products, prosthetics as well as orthotics (DMEPOS). Suppliers usually will be required to upload a $50,000 sturdy clinical devices guaranty bond. Different sturdy medical devices surety bonds are required for every National Provider Identifier (NPI) obtained for DMEPOS billing functions.
Long lasting Medical Equipment bonds may additionally be referred to as Medicare surety bonds, Medicaid guaranty bonds, CMS surety bonds, DMEPOS guaranty bonds, Pharmacy guaranty bonds or Centers for Medicare and Medicaid Services surety bonds. Particular distributors may be exempt from the brand-new demand.
Surety Bonds. Below you'll have the ability to see the various sorts of around the world assurances. No bond will be required after the contract has actually been awarded if it was not particularly called for in the agreement, besides as may be identified important for a contract modification.
How are Surety Bonds Applied? Guaranty bonds are commonly conditional on demand whereas financial institution assurances are not conditional on need. Typical breakthrough settlement protections typically are not bonds however relatively ensures as they incorporates additionally available phrasing for the value of the warranty to lower as acting repayments are made under the agreement.
What are Customs Surety Bonds? A customizeds bond is a agreement made use of for assuring that a particular responsibility will likely be met in between customs as well as an importer for any kind of provided import purchase. This bond is issued, on behalf of the importer by a custom-mades bonds insurance company equal to Credit score Guarantee. The key objective of a bond is to guarantee that all customs responsibilities, customizeds fines, and also different costs examined by Customs could be effectively paid which all commerce treatments can be adhered to.
Annually Renewable Surety Bond Bonds to manage these needs are either yearly renewable, or run for an acceptable specified time frame (three or four years) with revival choices. The only other alternative for the programmer is a letter of credit score.
Why a Bid Surety Bond, Performance Surety Bonds and also Advance Payment Guarantees? Development repayments are meant to supply financial assistance to the vendor by offering initial funding for bounce-beginning the venture. Settlement Bond for Different Than Construction Contracts. A efficiency bond safeguards the importer ought to the merchant stop working to satisfy its legal responsibilities. Efficiency bonds are usually issued for 10% to 20% of the agreement quantity yet can likewise be fixed by the native law of the importer's country.
What are Contract Guarantee Bonds? A contract warranty bond uses another form of monetary assurance to help building associated contracts. To make an irreversible letter of credit history extra attractive, the contracting police officer shall make use of the sight draft stated in the clause, as well as existing it with the Irrevocable Letter of Credit ( consisting of letter of affirmation, if any) to the releasing economic establishment or the verifying economic establishment (if any type of).
Performance bonds are all about peace of mind. What bid bonds do is discovering the right tools to execute your basic needs. What that means is that we utilize the most sophisticated surety documents to appropriately implement your needs. We customize each and every strategy so that you get precisely what you want. We do this making use of the most recent devices so that we can prepare a customized plan at the most affordable possible expense. Kindly call us today with any questions.
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uhhhcool · 3 years
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Capping a Bond
Insurance Industry Democrates is a web practice about surety bonds. We concentrate on surety bonds so that you can be assured that you are getting the most up to date methods.
See the below post for more good information. You can see the original article here: https://swiftbonds.com/glossary/capping-a-bond/
State Surety Bonds
Federal, state as well as regional government guaranty bond needs can differ considerably. ERISA bonds, court bonds, tax obligation settlement bonds, integrity bonds, company bonds, broker bonds and also various other surety bond obligations are not the same for all jurisdictions. Remaining on top of the different demands for guaranty bonds throughout the nation can be challenging. Our guaranty experts will make it basic for you. Whether you are looking for a performance as well as settlement bond, quote bond, or even the suitable sales tax bond to begin your new business, we will certainly aid you every step of the method. We will certainly work very closely with you to ensure you obtain precisely what you need the initial time.
DMEPOS Surety Bonds
A Durable Medical Equipment surety bond is a certificate as well as authorization surety bond called for by the Centers for Medicare & Medicaid Services (CMS) for all distributors of resilient medical devices, supplies, prosthetics and also orthotics (DMEPOS). Vendors normally will be needed to post a $50,000 long lasting medical devices guaranty bond. Different durable medical tools guaranty bonds are needed for every National Provider Identifier (NPI) acquired for DMEPOS billing purposes.
Durable Medical Equipment bonds might also be described as Medicare surety bonds, Medicaid guaranty bonds, CMS guaranty bonds, DMEPOS guaranty bonds, Pharmacy guaranty bonds or Centers for Medicare and Medicaid Services surety bonds. The resilient clinical tools surety bond requirement became a last rule in the Federal Register on January 2, 2009. Generally, new suppliers must fulfill the guaranty bond requirement by May 4, 2009 as well as existing distributors are called for to abide by October 2, 2009. Particular suppliers may be excluded from the new need.
Guaranty Bonds. Listed below you'll have the ability to see the different types of around the world assurances. No bond shall be needed after the agreement has been awarded if it was not particularly called for in the contract, besides as may be determined essential for a contract alteration.
Just How are Surety Bonds Applied? Surety bonds are typically conditional on demand whereas bank guarantees are not conditional as needed. Regular advancement settlement protections typically are not bonds however rather ensures as they incorporates additionally readily available phrasing for the value of the guarantee to lower as acting repayments are made under the contract. This appears as nobody can provide you an advance devoid of passion with warranty which is conditional. Based primarily on the description over, were you referring the bond or guarantee? It is essential to distinguish the 2 as a method to understand what type of threat you'll birth by choosing considered among them.
What are Customs Bonds? A customs bond is a agreement used for assuring that a particular responsibility will likely be met in between customs as well as an importer for any type of offered import purchase. This bond is issued, in behalf of the importer by a custom-mades bonds insurance company equivalent to Credit rating Guarantee. The main goal of a bond is to ensure that all personalizeds responsibilities, custom-mades fines, and various charges analyzed by Customs may be properly paid as well as that all commerce procedures can be complied with.
Renewable Surety Bonds Bonds to take care of these needs are either yearly renewable, or run for an appropriate given period ( 3 or four years) with renewal choices. The only other option for the designer is a letter of debt score.
Why Bid Bonds, a Performance Bond as well as Advance Payment Guarantees? Advancement payments are expected to give monetary aid to the seller by providing initial funding for bounce-beginning the endeavor. Settlement Bond for Different Than Construction Contracts. A efficiency bond safeguards the importer must the exporter fall short to please its legal responsibilities. Efficiency bonds are normally issued for 10% to 20% of the contract amount yet might likewise be repaired by the native legislation of the importer's country.
What are Contract Guarantee Surety Bonds? A contract assurance bond offers one more type of financial guarantee to assist building and construction related contracts. To make an irrevocable letter of credit history more appealing, the having officer will make use of the view draft stated in the provision, and present it with the Irrevocable Letter of Credit ( consisting of letter of affirmation, if any) to the issuing economic establishment or the verifying banks (if any kind of).
bid and performance bonds are all about peace of mind. What bid and performance bonds do is all about is finding the right devices to implement your standard requirements. We do this making use of the most up to date tools so that we can prepare a personalized plan at the most affordable possible expense.
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tomorowlandword · 3 years
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Calendar Day
Insurance Industry Democrates is a web practice about surety bonds. We focus on bid bonds so that you can be ensured that you are getting the most up to date methods.
See the below post for more good information. You can see the original article here: https://swiftbonds.com/glossary/calendar-day/
Different State a Surety Bond
Federal, state as well as city government guaranty bond needs can differ substantially. ERISA bonds, court bonds, tax obligation payment bonds, fidelity bonds, company bonds, broker bonds as well as other guaranty bond responsibilities are not the exact same for all territories. Remaining on top of the various requirements for surety bonds across the nation can be difficult. Our surety specialists will make it basic for you. Whether you are seeking a performance as well as repayment bond, quote bond, or also the proper sales tax obligation bond to start your new organization, we will certainly help you every action of the means. We will certainly work carefully with you to be sure you get specifically what you need the very first time.
DMEPOS Bond
A Durable Medical Equipment guaranty bond is a certificate and authorization guaranty bond needed by the Centers for Medicare & Medicaid Services (CMS) for all providers of sturdy medical devices, prosthetics, orthotics and also supplies (DMEPOS). Distributors generally will be needed to post a $50,000 resilient clinical tools surety bond. Separate resilient clinical tools surety bonds are required for every National Provider Identifier (NPI) gotten for DMEPOS billing functions.
Durable Medical Equipment bonds might likewise be referred to as Medicare surety bonds, Medicaid guaranty bonds, CMS surety bonds, DMEPOS guaranty bonds, Pharmacy surety bonds or Centers for Medicare as well as Medicaid Services guaranty bonds. Particular distributors may be excluded from the new requirement.
Surety Bonds. Listed below you'll have the ability to see the different sorts of globally guarantees. No bond will be called for after the agreement has actually been granted if it was not specifically required in the agreement, besides as might be identified essential for a contract modification.
Just How is a Surety Bond Applied? Surety bonds are usually conditional on demand whereas financial institution warranties are not conditional on demand. Normal breakthrough settlement securities generally are not bonds nonetheless rather guarantees as they includes optionally offered wording for the worth of the guarantee to lower as acting repayments are made under the contract.
What are Customs Bonds? A customizeds bond is a agreement used for ensuring that a particular obligation will likely be met between customizeds and an importer for any type of provided import purchase. This bond is issued, in behalf of the importer by a custom-mades bonds insurance firm comparable to Credit score Guarantee. The primary goal of a bond is to ensure that all personalizeds obligations, custom-mades penalties, as well as different fees evaluated by Customs may be effectively paid which all business procedures can be adhered to.
Renewable Bonds Bonds to handle these needs are either yearly renewable, or run for an appropriate specified period (three or four years) with renewal selections. The only various other option for the developer is a letter of credit rating score.
Why Bid Bonds, a Performance Bond and also Advance Payment Guarantees? Breakthrough payments are supposed to provide financial aid to the vendor by supplying first financing for bounce-beginning the venture. Repayment Bond for Different Than Construction Contracts. A efficiency bond safeguards the importer should the merchant fail to satisfy its legal responsibilities. Performance bonds are generally released for 10% to 20% of the agreement amount yet could additionally be repaired by the native regulation of the importer's nation.
What are Contract Guarantee Bonds? A contract assurance bond supplies an additional type of monetary warranty to assist construction relevant contracts. To make an irreversible letter of credit report more attractive, the contracting policeman will make use of the sight draft stated in the condition, as well as existing it with the Irrevocable Letter of Credit (including letter of affirmation, if any) to the issuing financial establishment or the validating economic organization (if any type of).
Bid bonds are all about comfort. What bid bonds do is finding the right tools to execute your basic needs. What that indicates is that we utilize the most sophisticated surety documents to effectively execute your needs. We customize each and every strategy so that you get exactly what you desire. We do this making use of the most recent devices so that we can prepare a customized strategy at the most affordable possible expense. Please call us today with any concerns.
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rickhorrow · 4 years
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The Key for NFL Draftee Success may Lie In Their Shoes...
by: Tanner Simkins @tannersimkins
In a world where so much data is being tracked and monitored so closely tied to performance, where can athletes get an edge, one that is legal, these days. PED’s still abound and those looking to cheat will always try and game the system, but are there opportunities, especially  tied to science, innovation and performance, that still exist in a world where secrets are hard to come by?
More and more the CBD space is mentioned as an area that has grown in acceptance and use, and its medicinal ties to enhanced performance continue to lead to more and more commercial opportunities and business. We have seen the value of sleep measurement become a big part of preparedness, and with it brands have come along to help teams, leagues and athletes better manage the time of rest to maximize output. We also always have better, sleeker, lighter elements of equipment tied to performance that are continually providing, sometimes unintentional, edges for athletes Whether it is concussion absorbing helmets in football and lacrosse, or lighter, more durable pads like those produced in growing numbers by a company like XTECH, the science of equipment keeps moving forward.
There are also items that may not be at one’s fingertips, but they are at the feet, literally, of a growing number of athletes. Orthotics, custom measured for athletes of every size, have been around for several decades, but the insole business that provide not just injury protection, but added performance, is one that is coming more and more on the radar.
Case in point this week, when Connecticut based VKTRY Athletics opened up their list of over 100 NFL prospects who will use their carbon fiber insoles during their all important Pro Days as they position themselves for the NFL Draft? Why?
“Most athletes see significant improvements in the broad jump, the vertical jump and their time in the 40,”  said VKTRY CEO Steve Wasik. “They really feel the difference and understand how VKTRY Insoles can help them get an edge both at the Combine and on the playing field.” It’s an edge than can mean an extra few inches in a jump, or a few milliseconds in a dash, that could literally be worth millions…and it is all legal. In independent performance testing, athletes wearing VKs increased their broad jump by an average of +4.0”, their vert by +1.6” and improved their 40 times by 0.12 seconds.
Those athletes using VKTRY Insoles for their Pro days are projected first round picks: Alabama Running Back Najee Harris, Florida TE Kyle Pitts, Virginia Tech CB Caleb Farley, Miami DL Gregory Rosseau, Miami DE Jaelen Phillips, and LSU WR Terrace Marshall. Players from every Power Five Conference will be using VKTRY Gear for the first time during their Pro Days.
During the 2020 NFL season, a record number of over 200 NFL players, from 29 of 32 clubs, wore carbon fiber insoles, a 300% increase from 2019 and included a list of some of the brightest young stars and respected veterans in the NFL, including Cleveland Browns RB Nick Chubb, LV Raiders RB Josh Jacobs, Washington RB Antonio Gibson, Buffalo Bills RB Devin Singletary, SF 49ers WR “Deebo” Samuel, Seattle Seahawks WR DK Metcalf, NY Jets DE Quinnen Williams, Buffalo Bills CB Josh Norman, Chicago Bears WR Anthony Miller, LA Chargers OT Brian Bulaga, Denver Broncos TE Noah Fant, New York Giants TE Evan Engram, Minnesota Vikings WR Justin Jefferson, Pittsburgh Steelers LB Devin Bush and many more.
“I have worn VKs since I was a rookie and I love the added burst and explosiveness they give me on the field. I seriously feel 10X faster with VKs,” said Chubb, a two time All Pro selection and the Browns leading rusher each of the past two seasons. That’s a heck of an indorsement from something that you just slip into your shoes.  
The business came about for the US Olympic Bobsled Team to improve athletic explosiveness. In 2010, VKTRY helped Team USA win gold in the 4-man bobsled – first time in 62 years. It has grown and expanded ever since.
Is there a worry that governing bodies will take a look and sometime say they are too much enhanced performance? Maybe, but their edge is slight, and who doesn’t like to get that slight edge. Nice to see a little disruptive company find their growing niche, even if you can’t see it outside someone’s kicks. You can see results for sure, just ask those future draftees who will enjoy the bounce, literally, in the coming weeks.
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norabliss · 4 years
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Medicare Procedures For DMEPOS
Medicare is an insurance program, offered by the federal social committee and popular among DME billing companies and customers as well. It focuses primarily on older and disabled people. Medicare holds a share of 21% in terms of U.S healthcare expenses and 17.8% of Americans based out of the U.S have been covered by Medicare. Therefore, most of the DME billing companies first prefer enrolling in insurance programs offered by Medicare.
DME Billing
If you are a new DMEPOS supplier, you should definitely register your business with the Medicare enrollment application to become qualified to get paid for insured customers through Medicare. This blog takes you through the complete Medicare procedures for DME billing and how it is effective as well.
The application form provided by Medicare requires you to fill in all the information about you and secures only the needed documentation. This cross check’s your eligibility criteria before you apply for DMEPOS with Medicare and then allows you to enroll in the program.
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How to enroll in Medicare?
The Medicare enrollment process is very simple and quick as well.
First, the National     Supplier Clearinghouse (NSC) initiates and progresses your enrollment     application and proceeds with the verification of your information.
In case NSC asks     for more information in the due course, you should be in a position to     provide the same.
You should     respond to the mail requests sent by NSC immediately; showing a delay in     response can lead to further delay in your enrollment.
 Enrollment process
The following procedure is for becoming a DMEPOS (Durable medical equipment, Prosthetic, Orthotics, and Supplies) supplier.
Step 1: The applicant fills and submits the Medicare enrollment application form and the respective documents to the NSC.
Step 2: The NSC validates the application and carries out a site visit to ensure and mark compliance with all DMEPOS supplier standards.
Step 3: Once the verification is complete, the NSC informs the applicant through mails about the status of their decision towards the applicant’s enrollment application.
 If you have any information to be changed in the Medicare enrollment application form, you should inform the NSC within 30 days of applying. You do not have to grab a new enrollment form; instead, you can make use of your existing application form and mention, highlight the changes alone.
Before we get close to the final step in the Medicare program enrollment procedure, you must know about the term Participation. Participation is more or less similar to accepting assignment of claims every time for all services you offer to beneficiaries of Medicare. It also ensures that you collect payments as one-time and do not claim other than Medicare deductible or coinsurance of the beneficiary if any. Though you agree to the point of participation or not, according to the Social Security Act, Medicare expects you to submit claims for its beneficiaries without fail.
The participation benefits you in several ways. As a DMEPOS supplier, you receive the payments directly from Medicare because they are all assigned. The claim information is transferred to Mediated insurers i.e. for medical supplemental coverage.
 Medicare enrollment and registration
The standard healthcare transactions in recent times are controlled by the National Provider Identifier (NPI) over the healthcare provider identifiers. So it becomes an unleveraged rule for DMEPOS suppliers to acquire the NPI before they intend to enroll in Medicare programs. Only if you do this, you will be able to bill and be paid for services offered to Medicare beneficiaries.
 Conclusion:
24/7 Medical Billing Services is one such company that tops when it comes to DME billing and coding, helping independent doctors, nursing homes, hospitals across the United States, by handling their medical billing effortlessly and efficiently. The best part with 24/7 is they are experts in Credentialing, A/R Follow up and denial management services across the nation.
About 24/7 Medical Billing Services:
24/7 Medical Billing Services is the nation’s leading medical billing service provider catering services to more than 43 specialties across the entire 50 states. You can rely on us for end-to-end revenue cycle management. We guarantee up to 10-20% increase in the revenue with cost reduction of your practice for up to 50%. Call us today at 888-502-0537 to know more on how we can help boost profitability for your practice.
 Contact us -
24/7 Medical Billing Services,
16192 Coastal Hwy,
Lewes, DE – 19958
Tel: + 1 -888-502-0537
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