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PMD demo

New proposal digs deeper into wheelchair codes

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05/30/2014

WASHINGTON – Certain wheelchair codes not included in the current PMD demo project could be included in a new prior authorization program recently proposed by CMS.

CMS: PMD spending continues downward slide

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05/29/2014

WASHINGTON – Spending on power mobility devices (PMDs) continues to fall nationwide since the September 2012 launch of a demo requiring prior authorizations in seven states, CMS says.

Industry ‘ready’ for prior auths

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04/11/2014

WASHINGTON – Industry stakeholders support CMS’s plans to expand the PMD demo—with a few tweaks.  

“I’m all for it,” said Peggy Walker, billing specialist at VGM. “I’m ready for more prior auths.”

CMS targets 12 new states for PMD demo

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04/04/2014

WASHINGTON – The PMD demo is about to get bigger.

Industry pushes forward after disappointing vote

Good news: House ‘doc fix’ bill delays ICD-10 for one year
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03/28/2014

WASHINGTON – In a setback for the HME industry, the House of Representatives on March 27 passed a “doc-fix” bill that contains no amendments to fix the competitive bidding program.

President’s budget reins in DME spending

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03/07/2014

WASHINGTON – President Obama’s fiscal year 2015 budget includes proposals to limit Medicaid spending on DME and to ramp up Medicare fraud efforts.

In brief: MACs miss standards, health spending stays low

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01/10/2014

BALTIMORE – Medicare Administrative Contractors (MACs) failed to meet one-quarter of CMS’s performance standards, according to a new report from the Office of Inspector General (OIG).

CMS offers further analysis of PMD demo

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01/08/2014

BALTIMORE - CMS reported in December that its power mobility device (PMD) demonstration project brought down overall expenditures in seven states from $12 million in September 2012 to $4 million in September 2013.

In brief: NGS details reasons for denials, TiLite shakes up representation

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11/08/2013

INDIANAPOLIS – Prior authorization requests submitted as part of the PMD demo are being denied because of conflicting information in face-to-face exams and other medical records, and insufficient face-to-face exam information, National Government Services (NGS) announced in a recent bulletin.

What’s behind PMD demo denials?

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11/05/2013

INDIANAPOLIS – Prior authorization requests submitted as part of the PMD demo are being denied because of conflicting information in face-to-face examinations and other medical records, and insufficient face-to-face examination information, National Government Services announced in a recent bulletin.

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