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News
Jurisdiction C DME MAC Announces Pre-Payment Review of Microprocessor Knee Code
On May 4, 2017, CGS Administrators, LLC, the Durable Medical Equipment Medicare Administrative Contractor (DME MAC) for Jurisdiction C, announced the initiation of a widespread pre-payment review for HCPCS code L5856-Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type. L5856 is used as an […]
House Passes American Health Care Act, Starting the Path for Repeal of Affordable Care Act of 2009
This afternoon, the House voted to enact the American Health Care Act (AHCA). This is the initial legislative step in a process intended to eliminate major portions of the Affordable Care Act. Most folks recognize that this was the second attempt on this bill, after it came up short a few weeks before. There were […]
Important Update Regarding RAC Announcement On Audit of L5845 – Issue Has Been Removed from the RAC Website
In the April 20, 2017 AOPA in Advance: SmartBrief newsletter, AOPA announced that Performant Recovery, the contractor who serves as the national recovery audit contractor (RAC) for all Medicare DMEPOS, Hospice and Home Health services, had announced that it would begin performing an automated review on claims involving HCPCS code L5845 billed in conjunction with specific […]