Speakers

Session Title: Staying Above the Standards

In order to obtain and retain your Medicare billing privileges, every Medicare DMEPOS supplier must meet the Supplier Standards. Too often, extra attention is placed on these standards when a supplier initially enrolls in the program, only to put them in the rear view as time goes on. In addition to maintaining Medicare billing privileges, suppliers must also maintain compliance with licensure for payor contracts. In this session, Kelly will discuss the importance of meeting supplier standards, maintaining appropriate accreditation guidelines, and understanding the state licensure requirements. Time will also be spent addressing common risk areas suppliers may face when billing insurance. 

Learning Objectives:

1. Develop an understanding of the DMEPOS Supplier Standards.
2. Learn about common mistakes suppliers make with their enrollment file that lead to a revocation of billing privileges.
3. Discover common risk areas mastectomy providers encounter during claims audits.

CEUs: ABCOP: .75 Business | BOC: 1.0 Business

About Kelly Grahovac

Kelly Grahovac serves as the General Manager for The van Halem Group where she focuses on audits, appeals, education, and training across multiple lines of business and various specialties. Kelly is a known lecturer in the DME industry, speaking at national conferences, state associations, and for private events. Kelly has nearly 10 years of experience at one of the nation’s leading Medicare contractors where she worked for the DMERC, QIC, and A/B MAC. She has since brought this knowledge and experience over to The van Halem Group, where she has been working since 2013 to assist providers as they navigate the ever-changing healthcare payor landscape.