CMS has scheduled two important events of interest for DME suppliers.
This afternoon, Thursday, March 16, and Tuesday, March 21, CMS will hold the first two in a series of Special Open Door Forum (ODF) conference calls to discuss the implementation of the prior authorization process for general DMEPOS. Prior authorization will be required as a condition of payment for power wheelchairs with HCPCS codes K0856 and K0861 furnished on or after March 20, 2017, in Illinois, Missouri, New York and West Virginia.
This afternoon, Thursday, March 16, and Tuesday, March 21, CMS will hold the first two in a series of Special Open Door Forum (ODF) conference calls to discuss the implementation of the prior authorization process for general DMEPOS. Prior authorization will be required as a condition of payment for power wheelchairs with HCPCS codes K0856 and K0861 furnished on or after March 20, 2017, in Illinois, Missouri, New York and West Virginia.
During the ODF, CMS will outline the prior authorization request process, the timeframes for MAC authorization decisions and the process for any subsequent claim submissions. Additionally, attendees will be able to submit questions and provide feedback.
Event slides will be posted to the Prior Authorization Initiatives page on the CMS website. If you are unable to attend, a transcript and audio recording will be posted to the Special Open Door Forum page shortly thereafter.
Event Information:
Thursday, March 16 2-3:30 PM ET
Dial 1-800-837-1935 and use conference ID 85144406.
Tuesday, March 21 2-3:30 PM ET
Dial 1-800-837-1935 and use conference ID 85988828.
Then, on March 23, CMS will host a call from 2 to 3:30 PM Eastern to collect stakeholder input on the competitive bidding program in accordance with the 21st Century Cures Act.
The act mandated that CMS solicit and take into account stakeholder input on future pricing in non-bid areas. It further requires CMS to take factor in the highest amount bid by a winning supplier in a bid area and that CMS compare the following in bid and non-bid areas:
We encourage you to take advantage of these opportunities. MiraVista will be participating in both of these events and will communicate important updates to you.
Event slides will be posted to the Prior Authorization Initiatives page on the CMS website. If you are unable to attend, a transcript and audio recording will be posted to the Special Open Door Forum page shortly thereafter.
Event Information:
Thursday, March 16 2-3:30 PM ET
Dial 1-800-837-1935 and use conference ID 85144406.
Tuesday, March 21 2-3:30 PM ET
Dial 1-800-837-1935 and use conference ID 85988828.
Then, on March 23, CMS will host a call from 2 to 3:30 PM Eastern to collect stakeholder input on the competitive bidding program in accordance with the 21st Century Cures Act.
The act mandated that CMS solicit and take into account stakeholder input on future pricing in non-bid areas. It further requires CMS to take factor in the highest amount bid by a winning supplier in a bid area and that CMS compare the following in bid and non-bid areas:
- Average travel distance and costs associated with furnishing items and services in an area
- Average volume of items and services furnished by suppliers in the area
- The number of suppliers in the area
We encourage you to take advantage of these opportunities. MiraVista will be participating in both of these events and will communicate important updates to you.
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