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Audits and Condition of Payment Prior Authorization Resume August 3!

Published in Complex Rehab on July 10, 2020

Please see the attached notification from CMS regarding audits and the condition of payment prior authorization. On August 3, audits will resume from the suspension during the public health emergency. In addition, items requiring prior authorization (Power Wheelchair Bases and Pressure Reducing Support Surfaces) with an initial date of service August 3 must have a prior authorization. This was temporarily optional during the public health emergency, but that option will end with initial dates of service August 3.

Please see the complete CMS release here.

If you have any questions please contact Dan Fedor at dan.fedor@vgm.com or 570-499-8459.

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