Daily Archives: October 13, 2017

Prior Authorization for K0856 and K0861 Update

(referenceĀ MACĀ Q and (9-6-17) Q: Why are accessory claim lines being split and denied from the Condition of Payment power wheelchair claims? A: The accessory claims are denied because the Unique Tracking Number (UTN) is being submitted on the accessory claim lines. Only include a UTN for the prior authorized items (K0856/K0861) claim lines. For submission …

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Packer Perspective: Protect My Mobility! Urge Your Representatives to Pass H.R. 3730

In late June, CMS announced a policy clarification that they would not apply competitive bid rates for accessories used with Group 3 CRT power wheelchairs. CMS partially solved the problem with this clarification. Reps. Lee Zelden (R-N.Y.) and John Larson (D-Conn.) introduced H.R. 3730 in September to stop competitive bid rates from being applied to …

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