WASHINGTON, D.C. (January 7, 2016)—On December 29, 2015, CMS published the final rule to Medicare Program: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. This comes a year and a half after the proposed rule, which came out on May 28, 2014. Originally CMS proposed that the timeframe for a response to a prior authorization request would be made within 10 days or two days for expedited requests.

In addition to changing rates in non-bid locations, CMS plans to lower certain rates based on regional calculations, all under the guise of streamlining the bid program

If you know what you're dealing with, you can avoid or reverse K0858 denials
The latest CMS challenge involves resupply regulations and contacting patients