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Homecare Community Dismayed that Medicare Will Start Prior Authorization for Wheelchairs without a Clinical Template for Physicians to Document Need
Date:8/7/2012

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Wilson said that homecare providers steadfastly endorse efforts to combat fraud and abuse, but that CMS is creating a smokescreen to divert attention away from their badly flawed documentation process.  The CERT errors, he said, were caused by poorly written documentation guidelines that left physicians and providers confused over what information was needed for claims to be approved.  He noted the claims were largely denied because of missing patient information that had nothing to do with fraud.

"A prior authorization program with a clinical template can address the problems in the procurement system," Wilson said. "We support efforts to prevent fraud and abuse, and fixing the broken documentation system will help. Let's put in place a system that prevents fraud but also allows the most vulnerable people in our society to receive the mobility assistance they need to remain safe and live independently in their homes."   

The American Association for Homecare represents durable medical equipment providers, manufacturers, and others in the homecare community that serve the medical needs of millions of Americans who require oxygen systems, wheelchairs, medical supplies, inhalation drug therapy, and other medical equipment and services in their homes. Members operate more than 3,000 homecare locations in all 50 states. Visit www.aahomecare.org/athome.


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SOURCE American Association for Homecare
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