HME News: Providers debate prior auth proposal
A majority of HME providers welcome the idea of prior authorizations for certain DME, but they say Medicare’s proposed timeline for returning decisions is unreasonable. Sixty-nine percent of the 160 …
Breaking News: Advance Copy of New CMS Proposed Rule
Yesterday afternoon, AAHomecare received an advance copy of a proposed rule for prior authorization of DMEPOS items in Medicare Part B. In this proposed the rule, CMS is soliciting public …
CMS Proposes Medicare Prior Authorization Process For DMEPOS Subject To “Unnecessary Utilization”
CMS has just released a proposed rule that would require Medicare prior authorization (PA) for certain Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that the agency characterizes …
Industry ‘ready’ for prior auths
Industry stakeholders support CMS’s plans to expand the PMD demo—with a few tweaks. “I’m all for it,” said Peggy Walker, billing specialist at VGM. “I’m ready for more prior auths.” …