Analysis: Denials cost big bucks

Thursday, April 30, 2009

FARGO, N.D.--Claims denied due to issues with certificates of medical necessity (CMNs) and DME information forms (DIFs) represent a whopping 35% of the appeals workload in Jurisdiction D, according to a recent analysis by DME MAC Noridian Administrative Services. The denials cost Medicare, on average, $1.4 million for just one year. An appeal costs providers, on average, $36.74.