OPBS News: July 2009

July 30, 2009

New Prothetics Bill signed in Iowa

Governor Chet Culver of Iowa signed a bill that prosthetic devices must be covered by insurance, if they are medically necessary. The health insurance mandate affects only state-regulated health insurance policies - which means plans held typically by smaller businesses and individuals. Larger companies' insurance plans are typically regulated by the federal government.


Protect your Practice from Recovery Audit Contractor's (RAC).

CMS will continue with the implementation of the RAC( Recovery Audit Contractors) program. By 2010, CMS plans to have 4 RAC's in place. Each RAC will be responsible for identifying overpayment and underpayments in approximately 1/4 of the country. The RAC demonstration program has proven to be successful in returning dollars to the Medicare trust funds and identifying monies that need to be returned to providers. It has provided CMS with a new mechanism for detecting improper payments made in the past, and has also given CMS a valuable new tool for preventing future payments. You may visit CMS website at http://www.cmshhs.gov/ for more information.

 

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