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prior authorization complex rehab

Prior auths become law of land for two complex rehab codes

Process for K0856, K0861 began in four states in March
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07/07/2017

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.

Ahead of expansion, PA process runs smoothly

Providers report reasonable turnaround times, decent affirmation rates
 - 
06/09/2017

WASHINGTON – CMS plans to expand a prior authorization process for two complex rehab codes nationwide on July 17 and the agency, for the most part, has the blessing of industry stakeholders.