In brief: Obama makes Berwick official, AAH makes PECOS recommendations

Thursday, July 8, 2010

WASHINGTON - President Obama last week appointed Dr. Donald Berwick to head the Centers for Medicare and Medicaid Services. By making the appointment while Congress is on break, Obama avoided what promised to be a contentious Senate confirmation process. Berwick, whose appointment will run until late 2011, is a pediatrician, Harvard Medical School profession and president and co-founder of the Institute for Healthcare Improvement.

AAH makes PECOS recommendations

ALEXANDRIA, Va. - AAHomecare submitted comments last week to CMS, requesting a delay in the enforcement of PECOS regulations. The association also made recommendations for improving the regulations. Although CMS has said it does not plan to start automatically rejecting claims, the industry remains concerned that those claims will be subject to future recoupment.

Noridian reports high error ratio for K0004

FARGO, N.D. - Claims for high strength lightweight wheelchairs (K0004) have a 93% error ratio, according to a review by Noridian Administrative Services, the DME MAC for Jurisdiction D. Noridian reviewed 108 claims, paid eight and denied 100. The most frequent reasons for denials: lack of documentation (38 claims); documentation was not provided within the allotted time (23); and no valid written order and or no valid dispensing order (19). To read the review in full, go to