Tag: Lower limb prostheses

WASHINGTON - CMS has issued guidance for its new prior auth program for lower limb prostheses and sought to reassure providers that it would closely monitor implementation. CMS officials during a Special Open Door Forum March 11 also sought to reassure participants that, for the most part, it will be business as usual. “The policy hasn't changed and the way the DME MACs will review these claims will be exactly the way we've done so over the last few years,” said one official. Among...

WASHINGTON - Nine leading U.S. researchers and a former U.S. senator have put pen to paper in the fight against proposed changes to coverage for lower limb prostheses. The work of the researchers was used by Medicare to back up its decision to make the changes. “We would like to go on record as stating that the works referenced do not support any of the changes outlined in the proposal,” they wrote in a letter to the U.S. Health and Human Services Department. “We are extremely...