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Bill provides ammo for audit reform

May 29, 2015Liz Beaulieu, Editor

WASHINGTON - HME stakeholders have accomplished the first of two goals in their bid to reform Medicare's audit program.Rep. Marsha Blackburn, R-Tenn., introduced a bill on May 19 that would require prior authorizations for certain high-cost DME, including oxygen. The bill would also exempt DME that has gone through that process from pre- and post-payment audits.“There are two components to reform: one is prior authorization, and the other is clinical inference,” said John Gallagher, vice...

AAHomecare, H.R. 2437, Prior Authorization