Reimbursement


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.

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.

CRT Separate Benefit Bill Introduced in U.S. House

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

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.

NCART: GAO Report Confirms Need for CRT Wheelchair Accessory Legislation

Government Accountability Office report to Congress affirms major impact that competitive bid pricing would have on CRT.

HCPCS codes

Editor's Note

Honor Code

Comfort Foot

A K0108 Case Study

K0108

Funding Series

Justify It: K0108

CRT's Miscellaneous Code Can Be a Huge Funding Challenge

Complex rehab technology's miscellaneous HCPCS code covers a wide range of products and can pose enormous challenges to ATPs and funding specialists.

CP Client Finds Perfect Fit in OBSS Ortho-Shape Back

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

The Impact of Positioning in the Classroom Setting

Supporting mobility and participation with peers is crucial for all children.

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