The Brace Was Medically Necessary. Why Could Medicare Still Refuse Payment?
Section Analysis by Slava Kurdov, Billing Department, WCH
Editorial note: This article examines Medicare prior authorization requirements for selected orthoses taking effect October 28, 2026, and the phased implementation of requirements for certain upper-limb orthoses. The discussion reflects CMS guidance available at the time of writing. It does not claim to report verified post-implementation denial trends. This article is for informational and educational purposes and does not constitute legal, financial, or compliance advice.
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