Reimbursement


RAC to Look for Group 3 PWC Underpayments

New audit will focus on wheelchair accessory claims that were underpaid to providers.

Industry Seeks Support for House Sign-On Letter

Bipartisan letter to HHS Secretary Price and CMS Administrator Verma asks for DME and CRT reforms.

NCART/NRRTS Attendees Visit 245 Congressional Offices During Event

Attendees span the entire complex rehab technology industry.

Industry Fights New Funding Cuts to Custom Seating

Medicare Jurisdictions B and C have substantially cut payments for custom seats and backs, says NCART.

CRT Accessories Bills Reintroduced in House & Senate

H.R. 1361 and S. 486 seek changes to current Medicare funding for complex rehab wheelchair accessories.



CRT Separate Benefit Bill Introduced in U.S. House

H.R. 750 seeks a separate Medicare benefit category for complex rehab technology.

NCART: CMS “Re-Interpretation” of Wheelchair Frame Policy Threatens Access

DME MACs say titanium frames, heavy-duty upgrades are no longer separately billable on Medicare manual wheelchair claims.

CMS to Require Prior Authorization for Some Group 3 PWC Codes

New requirement is due to start in four states in March, then roll out nationwide later in 2017.

NCART: Be Aware of 2017 Medicare Billing Changes

21st Century Cures Act, now law, has impacted CRT billing policies for the new year.

Various Cushion Codes

Funding Series

Comprehending Cushion Codes

Skin Protection, Positioning & Adjustability: Their Impact on Funding

Skin protection, positioning, adjustability: How wheelchair seat cushion codes are defined, and what their definitions do -- and don't -- mean for medical justification.

Senate Passes Rural Relief Bill for DME Providers, But House Bill Stalls

Bill would postpone further Medicare funding cuts for suppliers in non-competitive bidding areas.

CP Client Finds Perfect Fit in OBSS Ortho-Shape Back

New Ottobock system provides fine-tuning in a custom-contoured back.

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