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prepay review

Coming soon: Prepay reviews for tilt and tilt and recline

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05/14/2015

NASHVILLE, Tenn. –The Jurisdiction C DME MAC has announced widespread prepayment reviews for power tilt (E1002) and power tilt and recline (E1007) wheelchairs.

Jurisdiction C DME MAC releases results of prepay reviews

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03/07/2014

A claim review of the initial month of therapy for CPAP devices (E0601) for Oct. 1, 2013, to Dec. 31, 2013, showed a denial rate of 48%.

MAC publishes prepay reviews for support surfaces, glucose monitors

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02/13/2014

INDIANAPOLIS – The claim error rate for Group 2 pressure reducing support surfaces (E0277) was 74% between July 1, 2013, and Sept. 31, 2013, according to a prepay review by National Government Services (NGS), the DME MAC for Jurisdiction B.

No stop to prepay review for certain power wheelchairs

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08/05/2013

INDIANAPOLIS – National Government Services (NGS), the DME MAC for Jurisdiction B, has reported a claims error rate for power wheelchair bases with options and accessories of 64% between April 1, 2013, and June 30, 2013.

New rule also impacts prepay review process

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12/28/2012

Most of the guidelines for prepayment medical review are found in manual guidance issued by CMS.

In brief: Face-to-face rule, IR meeting, PWC prepay review

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07/10/2012

BALTIMORE – CMS issued a proposed rule this week that details its plans to require a face-to-face evaluation within 90 days of a written order for certain high-cost durable medical equipment.