It is the continuing goal of the Centers for Medicare & Medicaid Services (CMS) to reduce fraud, waste, and abuse through all available avenues. The Affordable Care Act requires CMS to determine the level of screening to be conducted during provider and supplier enrollment based on the level of risk posed to the Medicare system. [...]
DJO Global Orthotic Fitter Course
DJO Global is proud to announce the April 11-14, 2011 DJO: Orthotic Fitter Course. This course is an ABC and BOC approved entry-level educational course for any practitioner wishing to become a Certified Orthotic Fitter (COF). This course provides a wonderful balance between lecture and laboratory experiences. Anatomy, physiology of injury, and symptoms requiring brace [...]
New Tools to Fight Fraud, Strengthen Medicare and Protect Taxpayer Dollars
The Affordable Care Act improves and expands consumer protections, strengthens Medicare, Medicaid and the Children’s Health Insurance Program (CHIP), and reduces health care costs. One important way it achieves these goals is by improving government-wide efforts to fight fraud, waste and abuse. The new law contains some critical new tools to improve and enhance the [...]
Lower Limb Orthoses – Coverage Criteria and Physician Documentation Requirements
A letter from Stacey V. Brennan, M.D., FAAFP Medical Director, DME MAC, Jurisdiction B to physicians. Dear Physician, Leg braces are covered by Medicare when they are required to support the limb and/or restrict or eliminate motion of a joint because of disease, injury, congenital condition, or orthopedic surgical procedure. Although elastic supports may be [...]
2011 DMEPOS FEE SCHEDULE
Revised for the January 2011. The update includes all changes identified in CR7248. Please click here 2011 DMEPOS FEE SCHEDULE to download complete listings.
The Centers for Medicare & Medicaid Services (CMS) has released a modification to the Healthcare Common Procedure Coding System (HCPCS) code set.
CMS has reinstated codes L3660 “SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, CANVAS AND WEBBING, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT”; L3670 “SHOULDER ORTHOSIS, ACROMIO/CLAVICULAR (CANVAS AND WEBBING TYPE), PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT”; and L3675 “SHOULDER ORTHOSIS, VEST TYPE ABDUCTION RESTRAINER, CANVAS WEBBING TYPE OR EQUAL, PREFABRICATED INCLUDES FITTING AND ADJUSTMENT” with the original [...]
Internet-based Provider Enrollment, Chain and Ownership System (PECOS) For Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers
DMEPOS suppliers can use Internet-based PECOS to enroll, make a change in their enrollment record, view their Medicare enrollment information on file with Medicare, and check on the status of a Medicare enrollment application via the Internet. Using Internet-based PECOS: Before you begin to use Internet-based PECOS, you: Should review the document titled, “Internet-based PECOS [...]
Tougher Health Fraud Prevention Measures Proposed
The Centers for Medicare and Medicaid Services (CMS) has released a proposed rule that would implement new anti-fraud measures on physicians and medical suppliers. The proposed rule carries out provisions of the Patient Protection and Affordable Care Act. The proposal would bolster physician and supplier screening procedures, including; 1) new licensure and database checks, 2) [...]
MEDICARE IMPOSES STRONGER PROTECTIONS ON MEDICAL EQUIPMENT SUPPLIERS
New Rule Strengthens Supplier Enrollment Standards to Help Prevent Fraud The Centers for Medicare & Medicaid Services (CMS) issued a final rule representing another step to increase protections for Medicare and beneficiaries from potentially fraudulent suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). The new regulation enhances Medicare enrollment standards for DMEPOS suppliers [...]
DJO Receives PDAC Letters for DonJoy Back Braces!
DJO has received PDAC letters for its DonJoy Back Braces. These rigid braces have been assigned covered codes and are eligible for reimbursement from Medicare. To view the PDAC letters and the assigned HCPCS codes for each product, please click here DJO PDAC
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