Up for review: catheters

Wednesday, August 21, 2013

NASHVILLE, Tenn. – CGS, the Jurisdiction C DME MAC, will conduct a service-specific review of certain intermittent catheters (A4351, A4352 and A4353), it announced Aug. 20. Providers who receive letters requesting additional documentation may be asked to provide the following: Preliminary dispensing order (if items were dispensed prior to obtaining a detailed written order); detailed written order; medical records that support medically necessary to perform intermittent catheterization; request for refill; delivery documentation; any other pertinent records; and copy of advance beneficiary notice if one was obtained. The review is being done because of high payment error rates.