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  • Ronda Buhrmester

    Ronda Buhrmester

    Sr. Director Payer Relations & Reimbursement, VGM Government Relations

    Class: General Session

    Session Title: Streamlining Documentation and Orders

    Understanding documentation requirements are key for any business that is submitting claims to payers within the HME space. Having an order on file is only a start to contacting the patient and dispensing a product, the documentation within the medical record is the key element to getting claims paid in addition to keeping that money in years to come when post payment audits occur.  Is medical necessity allowed on an order?  What information is needed for payment by a payer?  How can this process be streamlined?  During this session, there will be discussion around these questions and more!

    Learning Objectives: 
    1. Discuss how to identify documentation requirements necessary for payment.
    2. Explain a good order versus a not so good order.
    3. Discuss options for streamlining the process for more efficiency.

    CEUs: ABCOP: 1.0 Business | BOC: 1.25 Business

    About Ronda Buhrmester

    As a VGM associate since 2012, Ronda specializes in the billing, reimbursement, and audit area as the Senior Director of Payer Relations and Reimbursement.  She managed a hospital-based DME in Illinois for 12 years and handled sales and marketing.  Ronda is a respiratory therapist as well as a certified mastectomy fitter.  Over 25 years of experience in the healthcare industry, she assists VGM and Essentially Women members with review of claims and all types of audits and educates members on medical policies in the respiratory and all other DME products.  She serves on the Medicare council for all jurisdictions and is a member of the Provider Outreach and Education teams with the Jurisdictions. She is also on the Great Lakes Home Medical Services Association Board of Directors, and a member the National Supplier Clearinghouse Advisory Council.  Ronda has presented at the VGM Heartland Conference as well as the Medtrade East and West, and many state association meetings, and has conducted many webinars and on-site education with VGM and Essentially Women members.

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