DMEPOS Prior Authorization Rule Aims To Tackle Fraud, Unnecessary Use
This article was originally published in The Gray Sheet
A new CMS rule establishes a process for requiring prior authorization for durable medical equipment, prosthetics, orthotics and supplies to tackle fraud and unnecessary use of such products.
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The US Medicare agency announced will require prior authorization for 31 types of power wheelchairs in an update to its list of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that need prior authorization as a condition of payment under Medicare.