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Tag: pre- and post-payment reviews


Blackburn's bill seeks to expand prior authorizations

May 26, 2015HME News Staff

WASHINGTON - Rep. Marsha Blackburn, R-Tenn., introduced a bill last week that would require prior authorizations for high-dollar DME.The bill, H.R. 2437, would also exempt DME that has gone through this prior authorization process from pre- and post-payment audits, according to The VGM Group.“These pre-approved items could then only be subject to audits for fraud and abuse purposes,” the group stated in a bulletin to members. “The intention of this is to reduce the number of intrusive...

Audits, Legislation, pre- and post-payment reviews, Prior authorizations

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