• Monday, February 06, 2012RSS Feed

    CMS Modifies Prepayment Review and Prior Authorization of PMD Demonstration

    In response to comments from APTA and other stakeholders, the Centers for Medicare and Medicaid Services (CMS) has removed the 100% pre-payment review phase (formerly Phase 1) from the Prepayment Review and Prior Authorization for Power Mobility Devices demonstration. All modifications that had previously been made to Phase 1 are no longer necessary or applicable as a result of the removal this phase.

    Also based on stakeholder feedback, CMS will allow suppliers to perform the administrative function of submitting the prior authorization request on behalf of the physician/treating practitioner.

    The Prepayment Review and Prior Authorization for Power Mobility Devices and the    Recovery Audit Prepayment Review demonstrations, which were delayed from their initial January 1 start date, are expected to move forward on or after June 1.

    Additional information on these demonstrations can be found on CMS' Web site.


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