Tag: Documentation Requirements

WASHINGTON - CMS will now assume that medical necessity has been established for replacement of essential accessories for beneficiary-owned CPAP device and RAD.This does not mean that CMS or its contractors can't determine that payments for the equipment were inappropriate based on additional information or investigations related to audits, the agency stated in a bulletin last week.“This assumption is merely made so that initial claims for essential accessories used with a beneficiary-owned...

LEAWOOD, Kan. - The American Academy of Family Physicians sent a three-page letter to HHS Secretary Sylvia Burwell on April 13, expressing its concerns that the prescribing process for diabetes testing supplies has become “overly burdensome.” Also in the letter: That the competitive bidding program has resulted in patients receiving unbranded or inaccurate supplies. The AAFP argues that it should be acceptable for physicians to write prescriptions for “diabetic supplies” to...