Category Archives: Uncategorized

Quarterly Results of Prepayment Review of Spinal Orthoses

DMEMAC Jurisdiction D Medical Review Department released updated results on a widespread prepayment review program for spinal orthoses HCPCS codes, L0631 and L0637. The claims probed were from July 2013 – September 2013 and included a total of 2,112 claim … Continue reading

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Amputee Coalition Report Details Benefits of O&P Care to Medicare

The Amputee Coalition released a report earlier this week highlighting the benefits of orthotic and prosthetic care to the longevity of the Medicare trust fund. The Amputee Coalition commissioned Dobson DeVanzo & Associates to research the impact of orthotic and … Continue reading

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GAO Releases Report Critical of CMS Contractor Process

Earlier this week, the Government Accountability Office (GAO) released a report entitled “Increasing Consistency of Contractor Requirements May Improve Administrative Efficiency.”  Members of Congress pressed GAO to look at issues that have arisen about the efficacy of claim reviews by … Continue reading

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As Medicaid Expands, 30% of Physicians Decline New Patients

In a new study that could prove troublesome for the Affordable Care Act’s Medicaid expansions, Sandra Decker, an economist with the Centers for Disease Control (CDC) has reviewed data from 2011 suggesting that three in ten primary care physicians would … Continue reading

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Oversight of Medicare Audit Contractors, Surety Bond Comments

Lost in the media attention surrounding the Supreme Court ruling on the Affordable Care Act was the fact that key members of both parties, including: Senators Hatch, Baucus, Coburn, Carper, Grassley and Congressmen Waxman, Stearns, Boustany, Lewis and DeGette, recently sent a letter … Continue reading

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Licensure Advances in Iowa, Affordable Care Act Anniversary

Affordable Care Act Second Anniversary Today — The Patient Protection Affordable Care Act (PPACA) was passed two years ago today, March 23rd, 2010. Coincidentally, the Supreme Court is scheduled to take up the constitutionality of the oftentimes controversial law next week.  … Continue reading

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Have You Been Asked to Revalidate Your Medicare Enrollment?

Wanted to pass along to everyone this most up-to-date information concerning Medicare revalidation; we all knew this was coming but this is a good resource to check your revalidation status. Your regional MAC’s have been sending letters to all providers … Continue reading

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