Billing/Coding
Last Updated: Sep 2
News from The O&P EDGE
- OMHA Implements Pilot Programs as Alternatives to ALJ Hearings OMHA recently announced that it has implemented two pilot models as alternatives to ALJ hearings: a mediation initiative and a statistical sampling initiative.
- CMS Provides Guidance to DME MACs on DMEPOS Repair Claims
- CMS Updates the Fourth Quarter DMEPOS Fee Schedule
- DME MAC D to Initiate Prepayment Probes on Spinal and Knee Orthoses
- CMS Restarts Parts of the RAC Program
- CMS Finalizes ICD-10 Compliance Date
- DME MAC A Releases Results of L-0631 and L-0637 Claims Prepayment Review
- DME MAC C Releases New ADR Online Tool
- DME MACs Release “Dear Physician Letter” Related to EHRs and Addenda
- DME MAC A Posts Prepayment Review Results for Lower-Limb Prostheses
- DME MAC C to Return Paper Claims with Incorrect Modifiers
- Jurisdiction C DME MAC Launches Claim Denial Explanation Tool
- CMS Announces New OTS KO Codes
- CMS Proposed Rule Seeks to Update the Definition of “Minimal Self-Adjustment,” Adjust DMEPOS Fee Schedule
- Jurisdiction D Releases Results of L-5980 Prepayment Review
- CMS Establishes Provider Relationship Coordinator to Address Audit Process Issues
- CMS Proposes Prior Authorization for DMEPOS Subject to “Unnecessary Utilization”
- CMS Updates Surety Bond Collection Procedures
- Jurisdiction D Releases Results of L-5981 Prepayment Review
- CMS HCPCS Agenda for June DMEPOS Meeting Released