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prior authorization

Prior authorization: CMS clarifies stance on accessories

Agency also agrees to change delivery timeframe

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.

Accessories remain gray area for prior authorization process


WASHINGTON – CMS officials spent much of a Special Open Door Forum on March 16 discussing whether or not accessories will be covered under a new prior authorization process for two complex power wheelchair codes.

It’s a bumpy start for prior authorizations


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.

CareCentrix requires repeat authorizations for oxygen


HARTFORD, Conn. – A recently announced change to CareCentrix’s authorization process for oxygen patients covered under a Medicare Advantage plan has stakeholders scratching their heads.

Stakeholders await instructions on PA process


WASHINGTON – The cancellation of a Jan. 26 Special Open Door Forum on the upcoming prior authorization process for two complex rehab codes means industry stakeholders will have to wait longer to get their concerns and questions addressed.

CMS announces first codes up for PA process


WASHINGTON – CMS has announced the first two codes that will require prior authorization as a condition of payment.

CMS answers questions about prior auth process


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

CMS extends PMD demo


WASHINGTON – CMS will extend the PMD demo for an additional three years, until Aug. 31, 2018, according to a notice that the agency expects to publish in the Federal Register tomorrow.

Bill provides ammo for audit reform

‘Hopefully it will spur CMS to do something more quickly’

WASHINGTON – HME stakeholders have accomplished the first of two goals in their bid to reform Medicare’s audit program.

Staying paid

Monday, May 18, 2015
Don Chrysler

I would like to respond to Doug Harrison’s letter to the editor "Warning shot" (see below).