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American Association for Homecare Asks Associated Press To Correct Misleading Information In Story On Scooter Sales
Date:4/8/2013

nt documentation" in the same category with those that they say didn't meet medical necessity requirements. Perhaps they were chasing headlines, because combining these two very different conditions badly overstated the facts. A close reading of the OIG report reveals that medical necessity was actually only questioned on nine percent of the claims for power mobility devices that were reviewed in 2007. Of that nine percent, seven percent simply needed a different type of power wheelchair, while only two percent needed a less expensive piece of equipment. The 80 percent figure is clearly tainted.

Furthermore, many claims do not meet requirements because the CMS documentation system is subjective, haphazard, and inconsistent. Through AAHomecare, the industry has been working to address the documentation error rate:

  • developed a clinical medical template with the help of providers and physicians that outlines all the mandated requirements established in CMS' coverage policy;
  • encouraged CMS to provide additional education to physicians and providers on documentation and coverage requirements; and
  • supported and lobbied for an effective and efficient prior authorization program to fix documentation errors prior to CMS paying claims.

The recent OIG report on the CMS handling of surety bonds should alert the media and Capitol Hill to the management lapses at CMS that are impacting Medicare beneficiaries and DME providers. The AP story has done a disservice to Medicare beneficiaries, as well as the DME providers who are dedicated to assisting some of the most vulnerable people in our society. We call on the AP to correct the public record, and provide more comprehensive reporting in the future.

Sincerely,
Tyler J. Wilson

President
American Association for Homecare (AAHomecare)
1707 L Street, NW, Suite 350
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SOURCE American Association for Homecare
Copyright©2012 PR Newswire.
All rights reserved

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