Beginning in May, CMS is changing its prior authorization requirements for six additional items of durable medical equipment, prosthetics and orthotics. 1. The update, finalized in February, will add ...

CMS issued a rule Tuesday requiring prior authorization before Medicare will pay for durable medical equipment frequently subject to fraudulent and improper payments, according to USA Today. CMS, HHS’ ...

The Biden administration is removing two forms providers need to fill out to get reimbursement for certain durable medical equipment in an effort to ease administrative burden. The Centers for ...

CMS recently announced the suspension of prior authorization requirements for specified orthoses prescribed and furnished urgently or under special circumstances. Prior authorization requirements for ...

Prior authorization — in which a patient needs approval from the health plan before proceeding with a medical service — has long created a rift between payers and providers. It has gotten such a bad ...