Billing report finds spike in PAP use

Friday, February 7, 2014

WASHINGTON – The number of beneficiaries receiving PAP devices for a one-year time period grew 13%, while the total number of beneficiaries receiving all DMEPOS items during the same period fell 1%, according to a recently released comparative billing report.

Compiled by eGlobal Tech and Palmetto GBA, the report used data from claims processed by the DME MACs between July 2012 and June 2013. They also found allowed charges on PAP devices rose 23%, when allowed charges for all DMEPOS items fell by 2%.

The report was designed to help suppliers ensure they use correct coding when billing for PAP devices and accessories. It emphasized trends in allowed charges for PAP devices and accessories, the number of PAP devices and accessories per beneficiary, and the use of more expensive PAP devices and accessories.

CMS called for the report because proper billing for PAP devices and accessories has been identified as a risk area within the Medicare program.