Review finds 70% error rate for VEDs

Thursday, July 3, 2014

INDIANAPOLIS – In a first quarter 2014 widespread payment review of vacuum erection devices (VEDs), National Government Services examined 67 claims and denied 47, for an error rate of 70%, according to a release. The most common reasons for denial were: documentation that did not support diagnosis of impotence or erectile dysfunction; no medical records submitted; no documentation to support diagnosis of impotence or erectile dysfunction to allow coverage for the device; the proof of delivery record did not include the delivery service package identification number, supplier invoice number or alternative method to link supplier and delivery service records; or documentation did not show information justifying medical necessity. The Jurisdiction B DME MAC reminded suppliers that failure to respond to requests for additional documentation violates supplier standards.