CMS Will Require Prior Authorization For 31 Power Wheelchair Types
The US Medicare agency announced will require prior authorization for 31 types of power wheelchairs in an update to its list of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that need prior authorization as a condition of payment under Medicare.
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The owner of Royal Medical Supply was sentenced to five years in prison and ordered to pay $1.3m in restitution after submitting fraudulent claims for $4m in power wheelchairs, back braces and knee braces.
A new CMS rule establishes a process for requiring prior authorization for durable medical equipment, prosthetics, orthotics and supplies to tackle fraud and unnecessary use of such products.
The US Senate overwhelmingly approved a bill on 16 January to implement the US-Mexico-Canada agreement, which includes a new chapter on the handling of medical devices supported by the medtech industry.