CMS Sued Over Medicare Prosthetics Payment Rule

Law360, New York (May 15, 2013, 7:27 PM EDT) -- The American Orthotic and Prosthetic Association on Monday sued the Centers for Medicare and Medicaid Services in Washington federal court, accusing the agency of implementing rules denying Medicare claims for prosthetic devices lacking supporting documentation from doctors without legal authority or a proper rulemaking process.

According to the AOPA, a trade association for more than 800 suppliers of artificial limbs, CMS’s rules requiring that the agency and its contractors deny Medicare payments for prosthetics without documentation from a prescribing doctor, even when other documents could show...
To view the full article, register now.