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prior auths

PA program spreads out

Stakeholders continue to laud program, but they’re still keeping an eye on it
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08/24/2018

WASHINGTON – Industry stakeholders expect it to be mostly business as usual on Sept. 1, when CMS is set to expand a demonstration project requiring prior authorizations for standard power mobility devices nationwide.

In brief: VGM tallies costs by region, Option Care debuts in Louisiana

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08/09/2018

WATERLOO, Iowa – The VGM Group has released the results of a “Delivery Cost Survey” that puts into perspective how costly it is for HME providers to provide patients with the necessary equipment.

In brief: OIG says access intact in bid areas, GAO says to extend prior auths

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05/25/2018

WASHINGTON – Round 2 of Medicare’s competitive bidding program does not appear to have impacted access to oxygen or enteral supplies for most beneficiaries, according to two new reports from the Office of Inspector General.

In brief: CMS solicits input on reimbursement, nat’l RAC ready to roll

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03/10/2017

WASHINGTON – CMS has scheduled a call to solicit stakeholder input on its methodology for using information from the competitive bidding program for adjusting Medicare fee schedule amounts in non-bid areas.

In brief: CMS posts FAQ on prior auths, Lincare must pay penalty

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02/05/2016

WASHINGTON – CMS has published an FAQ for the prior authorization p