Billing/Coding
Last Updated: Feb 7
News from The O&P EDGE
- CMS Lacks Regulations for Payment Requirements for O&P Devices The Office of Inspector General (OIG) has issued a report that indicates that the Centers for Medicare & Medicaid Services (CMS) lacks regulations for payment requirements for prostheses and custom-fabricated orthoses.
- NAS Releases Results of External Breast Prostheses Prepayment Probe
- NAS to Conduct Lower-Limb Prosthesis Prepayment Review
- CMS Announces Bundled Payments for Care Improvement Initiative Participants
- DME MACs Announce Spinal Orthosis L-0430 Invalid
- DME MAC A: Lower-Limb Prostheses Prepayment Review Shows Continued Decrease in Denial Rate
- OIG: Medicare Overspent on L-0631 Back Orthoses
- DME MAC D Spinal Orthoses Prepayment Probe Reveals a High Denial Rate; Targeted Review to Begin
- CMS to Increase DMEPOS 2013 Fee Schedule
- Region B Therapeutic Shoes Prepayment Review Reveals a High Denial Rate
- CMS Releases 2013 HCPCS Codes
- CMS Publishes Instructions on Ordering and Certifying Documentation Maintenance Requirements
- HHS Rule Establishes Provider ID Numbers, Delays ICD-10 Compliance to 2014
- DME MAC A Lower-Limb Prostheses Prepayment Review Reveals a High Denial Rate
- Round 1 Recompete Competitive Bidding Registration Opens, Timeline Announced
- PECOS Offers a Digital Documentation Repository
- Medicare RAC Reviews to Begin in August
- Region D DME MAC Initiates Prepayment Review of Orthoses
- Coding Verifications Deleted for AFOs
- CMS Announces Opportunity for Smaller ACOs
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