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CMS Updates

CMS Updates

CGS announces Widespread Post-Pay Service Specific Review

by Dr. Michael Brody, DPM, CEO TLD Systems

CGS's Medical Review staff will be conducting a complex post-pay service-specific medical review of HCPCS Codes L1902; L1906; L1971; L4396; L4397 (Ankle-Foot Orthosis). This review will be conducted because data analysis revealed that Jurisdiction B's allowed dollars for HCPCS Codes L1902; L1906; L1971; L4396; and L4397 were significantly above expected amounts. Additionally, the Orthotics policy group ranked #1 in total CERT errors.
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CMS Updates

Updates from CMS for the Week of September 27

by TLD Systems

Medicare has released updated articles to reflect the annual ICD-10 update. These updates are effective on October 1 and change the coding and documentation requirement for many services we provide.
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CMS Updates

Updates from CMS for the Week of September 21

by TLD Systems

CMS launched Care Compare, a streamlined redesign of eight existing CMS health care compare tools available on Medicare.gov. Medicare has just announced that it will expand the requirements for prior authorization for ambulance transport for “Repetitive, Scheduled Non-Emergent Ambulance Transport.”
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