In CMS
Jan 8th, 2019
If you are a durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) company who is in Medicare’s Competitive Bidding program, your contract expired on Dec. 31, 2018. The Centers for Medicare & Medicaid Services (CMS) says there is a temporary 2-year gap in the entire program, expected to end on Dec. 31, 2020. This means, ...
In Billing
Dec 29th, 2016
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on Dec. 21, 2016, establishing a prior authorization process as a condition of payment for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) beyond power mobility devices (PMDs). The new process will use a “Master List” of items that meet specific criteria and are potentially ...
Jun 26th, 2013
Nearly one in four physician practices still is not able to handle disabled patients who use wheelchairs, a recent report in the Annals of Internal Medicine says. The results of the study raise questions about practice’s ability to handle a rapidly aging population. Is your practice ready? The study, which examined 256 practices in four cities, ...
In Billing
Jul 29th, 2011
The title of a July 2011 review conducted by Office of Inspector General (OIG) says it all: “Most Power Wheelchairs in the Medicare Program Did Not Meet Medical Necessity Guidelines.” The agency bases this conclusion on a medical record review of 375 claims for standard and complex rehabilitative power wheelchairs submitted to Medicare in the ...