by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
July 31st, 2014
Due to the fact that Power Mobility Devices have a climbing high rate of fraud and improper payments the Centers for Medicare & Medicaid announced in May it has extended the pre authorization process to 12 more states for power mobility devices. These states include Arizona, Georgia, Indiana, Kentucky, Louisiana, Maryland, Missouri, New Jersey, Ohio, Pennsylvania, Tennessee, and Washington. This will bring the total number of states participating in the demonstration to 19.
It also planning on establishing a prior authorization process for certain Durable medical equipment, prosthetics, orthotics and supplies they feel are frequently subject to unnecessary utilization.
The seven demonstration states that already have a prior-authorization process is California, Florida, Illinois, Michigan, New York, North Carolina, and Texas.