WASHINGTON – The prescribing physician/practitioner may contact the DME MAC to request a copy of the prior authorization decision letter, CMS has announced.
WASHINGTON – HME providers in all states must begin submitting prior authorization requests for two complex rehab codes starting July 17, CMS officials confirmed during a Special Open Door Forum on July 6.
WASHINGTON – Rep. Marsha Blackburn, R-Tenn., has introduced legislation that would require prior authorization for certain high priced HME, AAHomecare reported this morning.
WASHINGTON – During a second Special Open Door on March 21, CMS officials gave examples of what accessories are covered under a new prior authorization process for K0856 and K0861 power wheelchairs.
WASHINGTON – CMS officials spent much of a Special Open Door Forum on March 16 discussing whether or not accessories will be covered under a new prior authorization process for two complex power wheelchair codes.
WASHINGTON – CGS and Noridian have begun accepting prior authorization requests for K0856 and K0861, but complex rehab providers say they still don’t have all the information they need to comply with the program.
HARTFORD, Conn. – A recently announced change to CareCentrix’s authorization process for oxygen patients covered under a Medicare Advantage plan has stakeholders scratching their heads.
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.
