Prior Authorization Process for Certain Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Items: Inclusion of Lower Limb Prosthetics (LLPs) in Prior Authorization Wednesday, March 11th, 2020 2:00-3:00 PM Eastern Time Conference Call Only The CPI will host a Special Open Door Forum to invite suppliers, physicians, and other Medicare practitioners or interested parties to…
The Centers for Medicare and Medicaid Services (CMS) released its final payment rule for the calendar year (CY) 2020 Physician Fee Schedule (PFS) payment policy on Friday, November 1. CMS finalized most of the orthopaedic-related proposals that were published in this summer’s proposed rule. Therefore, this summary will simply touch on a few of the…
CMS issued the final rule for its calendar year 2017 payment policy for hospital outpatient departments (HOPD) and ASCs, and CMS backed off some of its proposals to limit higher payments for off-campus, provider-based departments. To review, President Obama signed a budget bill on November 2, 2015 that ended higher payments for off-campus, provider-based departments…
CMS released the final rule for the calendar year 2017 Medicare Physician Fee Schedule on November 2, 2016, and CMS dedicated a large amount of the commentary to how it will collect data on global surgical packages. Thanks to the Texas orthopaedic surgeons who responded to the AAOS/TOA survey on August 12. As a result…
