Medicare Adopts a New Prior Authorization Process for Certain Items

January 22, 2016

In an effort to curb unnecessary utilization, the Centers for Medicare and Medicaid Services (CMS) has announced a new initiative that will require durable medical equipment (DME) suppliers to obtain prior authorization from a CMS review contractor for certain items before providing the item to a Medicare beneficiary and submitting a claim to Medicare. The prior authorization process goes into effect on February 29, 2016.

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