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RAC AUDIT ALERT – Off-the-Shelf Knee Orthoses

Performant Recovery posted one new complex issue to their approved issues log this month. Off-the-Shelf Knee Orthosis On March 15, 2019, Performant Recovery, the National DMEPOS RAC, added Off-the-Shelf Knee Orthoses to their approved issues...

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MassHealth Begins HME Audits

The Commonweath of Massachusetts Office of Medicaid (MassHealth) has announced that they will be conducting audits of HME providers. These audits began in January 2019. The audits are a result of a report published in April 2017 by MassHealth on...

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CMS/RAC add Knee Orthoses and Diabetic Test Strips to Proposed Topics List

On March 5, 2019, CMS updated the Proposed RAC Topics list to include Knee Orthosis within the RUL and Blood Glucose Test or Regeant Strips. The automated review for Knee Orthoses within the RUL would join the Spinal Orthoses within the RUL if approved....

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Next Round of Competitive Bidding Program to Kick Off in 2021...with NIV and OTS orthotics included

On Thursday, March 7, 2019, CMS published a post to their blog providing DMEPOS Suppliers a glimpse into what to expect for the next round of Competitive Bidding. The DMEPOS Competitive Bidding Program was implemented on January 1, 2011. The Round 1...

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