Yesterday, the Centers for Medicare and Medicaid Services’ (CMS) Office of Inspector General (OIG) released a report entitled “Medicare Remains Vulnerable to Fraud, Waste, and Abuse Related to Off-the-Shelf Orthotic Braces, Which May Result in Improper Payments and Impact the Health of Enrollees”. (link to OIG announcement) This report continues to highlight fraud and abuse vulnerabilities […]
Serving the O&P field for over 90 years
News
CMS Expands its Prior Authorization Program and Adds New O&P Codes Subject to Face-to-Face Encounters and Written Orders Prior to Delivery
May 15, 2024 at 10:31 am
On May 13, 2024, the Centers for Medicare and Medicaid Services (CMS) announced that the following six O&P HCPCS codes will require Medicare Prior Authorization nationwide for claims with a date of service on or after August 12, 2024: