Tanglewood Medical Supplies’ Post

Transcript

Hey it's Rhonda BGM, I am here with an update for you. I wanted to get this out quickly so that you can get the latest news because you can't believe everything you read. And that's where this is coming from. So I'm starting, I'm actually at the mains conference up in Minnesota, I presenting and. Moderating a session so a lot, it's really great conference of course, and hanging out with all my industry friends from the vendor partners to the suppliers to everybody that's been having been at mains. It's been great. But we are hearing some rumblings because of an article that was released by some attorneys and it's wrong. It's wrong. So we're addressing that. A few of us in the industry shout out to my buddy no Noel and accuser. We're addressing that part of it or he is. But, and I started hearing this from suppliers, but what it is, is. CMS cleaned up or the Max cleaned up, some language on medical necessity and the article that the attorneys released. They're saying that medical necessity can be on an order now. Well, it always could have been on an order. The deal is you still have to be able to support the that information and the actual medical record. So that's not changed. So if you look at the program Integrity manual chapter 5.9, that has not changed. If you read the standard documentation requirement policy, it says if there's medical necessity information on the order, it has to. Corroborate with what's in the medical record from the patients treating practitioner. So nothing has changed so much so that I happened to be on a call with a couple of medical directors yesterday, Wednesday, and was about another issue that I was discussing with them and this was brought up and they're like, yeah, nothing's changed. The order cannot support medical necessity by itself. If you do that, and that's what you submit for your audit, you will fail. If you have something on that medical or if you have some medical necessity on that order that is not supported in the medical record, it's still going to fail. The order is not there to support medical necessity. It's there to to. Prescribe. That's what in order does. It prescribes the DME equipment. It allows you to contact the patient. That's a supplier standard. It allows you to dispense the product and essentially when you have the standard written order to submit the claim, that's it. Get the medical records that support the medical necessity, just like you guys have always been doing, just like us and the industry have been teaching you. That has not changed. So don't believe everything you read. Stick to listening to Rhonda and all my industry friends like Noel Adaku serve my work colleague Kim Kuche, all my industry friends that when you hear us speaking, we will tell you the facts. So stay tuned for more because we're going to continue to talk about this, but I just wanted to get this out real quickly. Thank you for your time. Enjoy your weekend, stay healthy, take care.