AAHomecare releases latest Audit Key results

Thursday, September 22, 2016

WASHINGTON – The average percent of DME MAC prepayment audits denied nationwide increased 6% between Q4 2015 and Q2 2016, according to the latest results from AAHomecare’s HME Audit Key survey.

Other results from the survey, all for the second quarter of 2016:

·      36% of hospital beds, support surfaces and manual wheelchair new patients were subject to MAC prepayment audit.

·      72% of completed MAC prepayment audits nationwide were paid upon review. 

·      The supplier appeal rate for MAC prepayment denials decreased 10% nationwide between Q1 and Q2 of 2016.

·      51% of completed appeal determinations for respiratory products favored providers.

AAH last reported results* for the survey in July.

The association asks that more and more providers participate in the survey, regardless of the number of audits they’re receiving.

“With wider participation, we will be able to make a better case to policymakers for much needed audit reform measures, as well as increasing the value of the data for industry benchmarking purposes,” the associate said.

The next round of data submission for the HME Audit Key survey opens Oct. 15.