Monthly Archives: April 2013

Senate Subcommittee Presses CMS on Audits, Payments

The Senate Homeland Security and Governmental Affairs Committee’s Subcommittee on Financial and Contracting Oversight held a hearing on Wednesday entitled “Oversight and Business Practices of Durable Medical Equipment Companies.” Senator Claire McCaskill (D-Mo.), the Chair of the subcommittee, called the … Continue reading

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CMS ANNOUNCES DELAY TO MAY 1 PECOS IMPLEMENTATION

I wanted to pass along that CMS announced this morning that Phase 2 of the PECOS (Provider Enrollment, Chain and Ownership System) program implementation that was scheduled for May 1, 2013, has been delayed due to “technical issues”. A new date … Continue reading

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Noridian Releases Results of Prepayment Review of L4360, L1970 and L1960

Jurisdiction D DME MAC has been conducting a wide ranging prepayment review of ankle/foot and knee/ankle orthosis HCPCS codes L4360, L1970 and L1960. Below is a summary of the results of the prepayment reviews for the first quarter of 2013. … Continue reading

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PECOS Requirements Become Active May 1, 2013

CMS recently announced that they will move forward with Phase 2 of the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) program, creating more headaches for those filing orthotic and prosthetic claims for Medicare patients. Beginning May 1, 2013, CMS will … Continue reading

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