Reimbursement


CMS to Require Prior Authorization for Some Group 3 PWC Codes

New requirement is due to start in four states in March, then roll out nationwide later in 2017.

NCART: Be Aware of 2017 Medicare Billing Changes

21st Century Cures Act, now law, has impacted CRT billing policies for the new year.

Various Cushion Codes

Funding Series

Comprehending Cushion Codes

Skin Protection, Positioning & Adjustability: Their Impact on Funding

Skin protection, positioning, adjustability: How wheelchair seat cushion codes are defined, and what their definitions do -- and don't -- mean for medical justification.

Senate Passes Rural Relief Bill for DME Providers, But House Bill Stalls

Bill would postpone further Medicare funding cuts for suppliers in non-competitive bidding areas.

NCART: GAO Report Confirms Need for CRT Wheelchair Accessory Legislation

Government Accountability Office report to Congress affirms major impact that competitive bid pricing would have on CRT.

K0108

Funding Series

Justify It: K0108

CRT's Miscellaneous Code Can Be a Huge Funding Challenge

Complex rehab technology's miscellaneous HCPCS code covers a wide range of products and can pose enormous challenges to ATPs and funding specialists.

HCPCS codes

Editor's Note

Honor Code

Comfort Foot

A K0108 Case Study



AAHomecare Urges Providers to Use Audit Tool

System collects information on audits and appeals to present to policy makers and stakeholders.

NCART to Host CRT Briefing & Product Expo on Capitol Hill

April 21 event seeks to teach members of Congress about complex rehab technology.

S. 2736 to Delay Rural DME Medicare Cuts Introduced in Senate

AAHomecare: Companion bill should be introduced in House soon.

NGS Reports Results of K0816 Prepayment Probe

Probe by Jurisdiction B DME MAC covered Group 1 power chairs.

CMS: We Will Pay PWC Accessories at Reduced Rates Till July

Providers would have to re-submit claims to receive full Medicare payment.

CRT Industry Top Priority: Protecting Accessories for Manual Wheelchairs

NCART's Don Clayback: Delay in funding cuts for CRT power chair accessories was "important" last-minute victory.

CMS Publishes Final Rule for DME Prior Authorization

Final rule, which appeared in the Dec. 30 edition of the Federal Register, would change the ordering process for certain items.

CRT Funding Webinar Scheduled for Jan. 14

Invacare Corp.'s Jim Stephenson will discuss new DME prior authorization, CRT wheelchair accessories changes.

NCART: CRT Wheelchair Accessories Bills Being Considered As Year-End Approaches

Industry awaits decision regarding bills' attachment to other legislation.

Mobility Management Podcast