The Centers for Medicare and Medicaid Services is getting ready to launch two new data collection programs, affecting providers and their revenue streams by making them further justify claims submitted for payment.

CMS will conduct a demonstration program, called Fee-for-Service Recovery Audit Prepayment Demonstration, to allow Medicare Recovery Auditors to review claims on a pre-payment basis in certain states. The agency also will conduct a demonstration program, called Prior Authorization Demonstration, to establish a prior authorization program for power mobility device claims (electric wheelchairs) in certain states.

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