The Centers for Medicare & Medicaid Services (CMS) will consider advance payments to Part B suppliers experiencing disruption in claims payments after a cyberattack on Change Healthcare in late February. CMS announced the plan to accelerate payments on March 9. On its website, Change Healthcare, part of UnitedHealth Group, said it discovered the cyberattack on…
CMS to Allow Advance DME Payments Following Change Healthcare Cyberattack
CMS Issues Final Coding, Benefit Category, Payment Determinations for Seat Elevation
New coding will go into effect in April.
The Centers for Medicare & Medicaid Services (CMS) has issued its final coding, benefit category, and payment determinations for seat elevation on power wheelchairs. The determinations were included as part of CMS’s Second Biannual 2023 HCPCS Coding Cycle. CMS said new coding actions would be effective starting April 1, 2024, unless otherwise noted. CRT industry…
Briefly: U.S. Rehab Presents Forensic Denials Seminars; Grant to Study Pregnant Women with Disabilities
Featuring U.S. Rehab, United Spinal, and Brandeis University.
U.S. Rehab to Host In-Person Reimbursement Seminars U.S. Rehab’s Dan Fedor and VGM’s Ronda Buhrmeister are hitting the road to present their seminar, “Forensic Denials DME 2024.” The in-person events will be held March 7 in Seattle; April 18 in Hartford, Conn.; and Sept. 12 in Minneapolis. In the Feb. 5 seminar announcement, U.S. Rehab…
Share Your Medicare Advantage PWC Denials with Industry Workgroup
The workgroup is led by the Clinician Task Force and NCART.
If you’re a Complex Rehab Technology (CRT) provider and have had power wheelchair claims denied by one or more Medicare Advantage plans, an industry workgroup wants to hear from you. That’s the message that NCART passed along in its Dec. 28 newsletter to stakeholders. “Improper Medicare Advantage denials of power wheelchairs continue to negatively impact…
CRT Industry Shares Coding Recommendations for Seat Elevation
The need for a separate heavy-duty code was debated at CMS coding meeting.
In a Nov. 30 discussion with officials from the Centers for Medicare & Medicaid Services (CMS), representatives from the Complex Rehab Technology (CRT) industry made their case for the complexity of power seat elevation and the CRT clients who use it. The forum was the second biannual HCPCS Coding Cycle public meeting, held by CMS…