Roll Call: Latest News on Capitol Hill, Congress, Politics and Elections
September 4, 2015

Powered Wheelchairs: CMS Expands Payment Scrutiny

A trial program that requires prior-authorization before payment for power mobility devices, or powered wheelchairs, will be expanded by the Centers for Medicare and Medicaid Services.

The agency started testing the prior authorization process in a selected group of states (California, Florida, Michigan, New York, North Carolina and Texas), which it suspected had the highest cases of fraudulent claims. On Tuesday, the agency issued a notice on expanding the test, starting on Oct. 1, to 12 other states.

CMS indicates that the existence of the program appears to be a major factor reducing improper wheelchair claims, as physician orders and supplier billings have changed as result of the demonstration.

Separately, CQ HealthBeat’s Rebecca Adams reported last week that a bipartisan group of House members have asked the Department of Health and Human Services inspector general to investigate how Medicare officials set prices and oversee the suppliers that are chosen to provide equipment such as wheelchairs.

The lawmakers also questioned if every contractor has fulfilled its obligations, whether suppliers were chosen outside of the area where the patients live and how CMS enforces program rules.



Comments (21)

Leave a Comment

Your email address will not be published.

author email

  1. qning

    July 31, 2014
    1:17 p.m.


  2. wheelchairindia

    April 1
    9:02 a.m.

    Hey, very nice site. I came across this on Google, and I am stoked that I did. I will definitely be coming back here more often. Wish I could add to the conversation and bring a bit more to the table, but am just taking in as much info as I can at the moment. Thanks for sharing.

    Power Wheelchair

    Keep Posting:)

  3. Anonymous

    July 28
    7:27 a.m.

    Very interesting details you have mentioned, thanks for posting.

  4. Anonymous

    July 30
    7:34 p.m.

  5. Anonymous

    July 31
    11:19 a.m.

    It is appropriate time to make a few plans for the future and it is time to be happy. I’ve learn this publish and if I may I wish to counsel you some interesting issues or advice. Perhaps you could write subsequent articles relating to this article. I desire to read even more things about it!

  6. Anonymous

    Aug. 2
    9:47 a.m.

    Would love to forever get updated great site! .

  7. Anonymous

    Aug. 6
    3:36 a.m.

    I would like to thnkx for the efforts you have put in writing this blog. I am hoping the same high-grade blog post from you in the upcoming as well. In fact your creative writing abilities has inspired me to get my own blog now. Really the blogging is spreading its wings quickly. Your write up is a good example of it.

  8. Anonymous

    Aug. 7
    3:49 a.m.

    very nice post, i definitely love this web site, keep on it

  9. Anonymous

    Aug. 12
    3:17 p.m.

    I’d have to examine with you here. Which is not one thing I usually do! I take pleasure in reading a post that may make folks think. Additionally, thanks for permitting me to comment!

  10. Anonymous

    Aug. 17
    10 p.m.

    This is the right blog for anyone who wants to find out about this topic. You realize so much its almost hard to argue with you (not that I actually would want…HaHa). You definitely put a new spin on a topic thats been written about for years. Great stuff, just great!

  11. Anonymous

    Aug. 19
    8:43 a.m.

    I like what you guys are up also. Such intelligent work and reporting! Keep up the excellent works guys I have incorporated you guys to my blogroll. I think it will improve the value of my web site :)

  12. Anonymous

    Aug. 24
    11:10 a.m.

    Your home is valueble for me. Thanks!…

  13. Anonymous

    Aug. 24
    1:51 p.m.

    I have learn some just right stuff here. Certainly worth bookmarking for revisiting. I surprise how so much attempt you put to make the sort of magnificent informative website.

  14. Anonymous

    Aug. 25
    1:09 p.m.

    I will immediately grab your rss as I can’t find your email subscription link or newsletter service. Do you’ve any? Kindly let me know in order that I could subscribe. Thanks.×200.png

  15. Anonymous

    Aug. 25
    9:06 p.m.

    I don’t even understand how I finished up here, however I believed this submit used to be good. I don’t understand who you’re but definitely you are going to a well-known blogger should you aren’t already 😉 Cheers!

  16. Anonymous

    Aug. 29
    6:06 p.m.

    Hello there! I could have sworn I’ve been to this website before but after reading through some of the post I realized it’s new to me. Anyways, I’m definitely delighted I found it and I’ll be book-marking and checking back frequently!

  17. Anonymous

    Sept. 1
    9:31 p.m.

  18. Anonymous

    Sept. 2
    11:50 a.m.

    Fantastic website. Lots of helpful info here. I am sending it to a few buddies ans additionally sharing in delicious. And certainly, thanks in your sweat!

  19. Anonymous

    Sept. 2
    6:31 p.m.

    Thanks for helping out, good information.

  20. Anonymous

    Sept. 2
    7:25 p.m.

    Some genuinely choice blog posts on this internet site, saved to favorites.

  21. Anonymous

    Sept. 3
    2:07 a.m.

    Hi there, You have done an excellent job. I will certainly digg it and personally recommend to my friends. I am confident they will be benefited from this website.

Sign In

Forgot password?



Receive daily coverage of the people, politics and personality of Capitol Hill.

Subscription | Free Trial

Logging you in. One moment, please...