Beware same or similar


Cigna Government Services, the DME MAC for Jurisdiction C, pointed out in a June 26 bulletin that manual wheelchair issues make up, on average, 8% of all redeterminations. Fifty-four percent of those issues involve same or similar denials. As such, Cigna reminded providers that they should make certain that beneficiaries understand that manual and power wheelchairs are considered similar equipment. Medicare will not cover both items when they are used simultaneously. Backup wheelchairs have no coverage benefit. Same or similar denials also occur when more than one provider supplies equipment.

Liz Beaulieu