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Preventing DME Fraud With Prior Authorization

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A new prior authorization rule from Centers for Medicare and Medicaid Services (CMS) is being put into place to help prevent fraud of durable medical equipment. “The rule states that the documentation to meet authorization for DMEPOS is needed earlier in the process in order to furnish the items, which are often mobility devices like motorized wheelchairs. Medicare will pay up to 80% of their cost if a physician deems the item is necessary; they can can cost $5,000 or more…” [ Read more here ]

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