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RAC Audit: Pneumatic Compression Devices

On January 23, 2019, the DMEPOS and Home Health Recovery Audit Contractor (RAC) Performant added Pneumatic Compression Devices to their CMS Approved Audit Issues log. The reviews are defined as complex reviews for claims with a paid date more than 3...

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Changes to Advanced Determination of Medicare Coverage (ADMC) and Condition of Payment Prior Authorization (COPPA)

By Kim Turner, RN As the Rehab Clinical Consultant at The van Halem Group, I work closely with our mobility clients on a daily basis. Recently, I have received an increase in inquiries related to the HCPCS eligible for Medicare ADMC and Prior Authorization....

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