Effective September 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will implement expanded coverage for lower limb prosthetics, particularly affecting higher-functioning knee systems and K2 functional-level prosthetic users.
Prior authorization (PA) helps Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers ensure that Medicare coverage, payment, and coding rules are met before DMEPOS items are delivered. The Centers for Medicare & Medicaid Services (CMS) issued a final rule on December 30, 2015, that would establish prior authorization for DMEPOS items. The ruling was made to saf...
As we move forward and rebuild from 2020, we should take a hard look at what changes occurred last year that will have a strong or long-lasting effect on this year and the O&P Industry as a whole. At SPS, we take pride in our goal of being an educational resource to our team members, customers, partners, and more.
