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complex rehab

Complex rehab stakeholders make their case

The big question: What will get done by an ‘overwhelmed’ Congress?
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04/28/2017

ARLINGTON, Va. – The amount of work that needs to get done in Congress this year may be a double-edged sword for complex rehab stakeholders, lobbyists say.

Prior auth update: No involvement from ATP trips some providers

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04/28/2017

WASHINGTON – CMS gave insight into how providers are doing with a new prior authorization process for two complex rehab codes during the third in a series of Special Open Door Forums on April 25.

Update: Custom seats, backs under review, NCART says

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04/25/2017

WASHINGTON – The medical directors at jurisdictions B and C have agreed to do an “immediate review” of payments for custom seats (E2609) and custom backs (E2617), following their decision to change payments from individually priced to flat allowable, according to NCART.

DME MACs move custom items to set allowables

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04/19/2017

WATERLOO, Iowa – Custom cushions and backs—codes E2609 and E2617—now have set allowables in jurisdictions B and C, VGM Group reports. Previously, the custom items were individually priced and were averaging about 70% of MSRP/supplier price.

Numotion buys Horn’s

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04/18/2017

BRENTWOOD, Tenn. – Numotion has acquired Horn’s Medical Supply in Athens, Texas, the company announced April 14. The acquisition allows Numotion to better serve customers in eastern Texas, it says.

Talk politics at complex rehab conference

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03/31/2017

WASHINGTON – Among the sessions at the upcoming National CRT Leadership and Advocacy Conference will be a panel presentation providing an overview of the healthcare issues, options and politics in Washington, D.C.

Word of mouth pays off for Avid

Merits Health Products builds separate facility for complex rehab division
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03/27/2017

CAPE CORAL, Fla. – Since the release of the Vector at the beginning of October, business for Avid Rehab’s first entry into the complex power wheelchair market has been strong.

Prior authorization: CMS clarifies stance on accessories

Agency also agrees to change delivery timeframe
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03/22/2017

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.

It’s a bumpy start for prior authorizations

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03/10/2017

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.

Prior authorization kicks in for two complex rehab codes

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03/07/2017

WASHINGTON – CGS and Noridian on March 6 began accepting prior authorization requests for K0856 and K0861 for providers in Illinois, West Virginia, Missouri and New York. They are accepting requests for dates of delivery on or after March 20.

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