Tag: Scot Dube
In brief: NGS details reasons for denials, TiLite shakes up representation
November 8, 2013HME News Staff
INDIANAPOLIS - Prior authorization requests submitted as part of the PMD demo are being denied because of conflicting information in face-to-face exams and other medical records, and insufficient face-to-face exam information, National Government Services (NGS) announced in a recent bulletin. The list of reasons covers denials as of Oct. 24. NGS says face-to-face exams often do not specify: how a PMD will sufficiently improve the beneficiary's daily life; what are the beneficiary's mobility limitations...
