WASHINGTON – The cancellation of a Jan. 26 Special Open Door Forum on the upcoming prior authorization process for two complex rehab codes means industry stakeholders will have to wait longer to get their concerns and questions addressed.
WASHINGTON – CMS has announced the first two codes that will require prior authorization as a condition of payment.
WASHINGTON – CMS has published an FAQ for the prior authorization p
WASHINGTON – CMS will extend the PMD demo for an additional three years, until Aug. 31, 2018, according to a notice that the agency expects to publish in the Federal Register tomorrow.
WASHINGTON – HME stakeholders have accomplished the first of two goals in their bid to reform Medicare’s audit program.
I would like to respond to Doug Harrison’s letter to the editor "Warning shot" (see below).
YARMOUTH, Maine – CMS’s PMD demo is set to arrive in 12 new states in just a few weeks and, for the most part, providers are welcoming it with open arms.
WASHINGTON – CMS officials last week acknowledged that some providers feel “angst” about prior authorizations (PAs), but they say, given a chance, the process will prove beneficial.
YARMOUTH, Maine – A majority of HME providers welcome the idea of prior authorizations for certain DME, but they say Medicare’s proposed timeline for returning decisions is unreasonable.
BALTIMORE – CMS may implement prior authorizations for certain durable equipment, it announced May 22.
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