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Tag: Prior authorization demo


Guest Blog

Is CMS preparing for hunting season?

April 11, 2014HME News Staff

As Elmer Fudd would say “Be vewwy, vewwy quiet...I'm hunting wabbits!” The Centers for Medicare and Medicaid Services (CMS) may not be hunting rabbits, but they're hunting the very elusive greenbacks. On September 1, 2012, CMS implemented the prior authorization (PA) for power mobility devices (PMDs) demonstration in seven states: Cal., Fla., Ill., Mich., N.C., N.Y. and Texas. CMS claims that spending per month on power mobility devices in the seven demo states has decreased since September...

Audits, Prior authorization demo, RACs, SMRC


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Also Noted

CMS expands online submissions for PMD demo

January 9, 2013HME News Staff

WASHINGTON - Jurisdictions A, C, and D are now accepting PMD prior authorization requests online through the electronic submissions of Medical Documentation (esMD) system, according to a CMS announcement. The move is designed to reduce provider costs and cycle time by minimizing and eventually eliminating the paper processing and mailing of medical documentation to review contractors, the announcement said. A secondary goal is to reduce the costs and time of review contractors. Using esMD is voluntary....

CMS, DMEPOS, esMD, PMD, Prior authorization demo


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Also Noted

Hearing scheduled to examine PMD waste and fraud

September 14, 2012HME News Staff

WASHINGTON - A Senate Aging Committee hearing next week will focus on new Medicare prior authorization requirements for power mobility devices (PMDs). The hearing, scheduled for Wednesday, Sept. 19, at 2 p.m., will review a three-year CMS demonstration project requiring prior authorizations for PMDs in seven states. The states under the microscope—California, Illinois, Michigan, New York, North Carolina, Florida and Texas—are where government officials believe PMD fraud is most prevalent....

CMS, Hearing, PMD, Prior authorization demo, senate


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