NEW for 2012 – all PMDS /including scooters except group 3 complex rehab chairs will go on pre-pay review in 7 states –CA/FL/IL/TX/NC/MN/ & NY. Prepay is BAD for the industry — see AAH homecare and industry comments on the US Rehab home page — the pre-pay review will last from 3 to 9 months — this was going to be on ALL but CMS came back and changed to maybe 60% will be reviewed.
The pre-pay will be completed in a staggered series for different states and then prior authorization will be implemented. The full demonstration will be for 3 years. Once the pre-pay has been completed.
Prior Authorization — good for all
Please contact your legislators and let them know this will definately deny access to needed individuals and cause loss of jobs and close down small providers. Pre-pay means a delay of several months for payment on your claims (this will be first month review only on capped rental)
Questions call or comment here.
Peggy Walker, RN
800-401-3643
Tags: CMS, pmds, powerchair, pre-pay review, us rehab
Adding Licensure information to your NSC information
The supplier can send the license to the NSC with a signed cover letter by the authorized or delegated official. The full 855s is not necessary. Now if they are adding a new state where they will be providing services, they will need to complete the appropriate sections of the 855S including the products/services in section 2 and section 4 requesting the state(s) they intend to serve.