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prepayment review

DME MAC releases oxygen, CPAP review data

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05/29/2014

HINGHAM, Mass. – NHIC found a 44% denial rate for oxygen and oxygen equipment as part of a review of claims filed between Jan. 1, 2014, and March 31, 2014.

Prepayment review focuses on CPAP

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05/22/2014

INDIANAPOLIS – National Government Services, the Jurisdiction B DME MAC, plans to target CPAP devices for a widespread prepayment medical review, it announced in a message yesterday.

Error rate for glucose test strips tops out

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05/15/2014

INDIANAPOLIS - A prepayment review of glucose test strips resulted in a claim error rate of 99.2%, according to National Government Services.

Review results in 87.7% error rate for power wheelchairs

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05/15/2014

INDIANAPOLIS – The claim error rate for Group 2 power wheelchairs without power seating options was 87.7% between Jan. 1 and March 31, according to National Government Services (NGS), the Jurisdiction B DME MAC.

Region C RAC announces new reviews

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04/03/2014

WILTON, Conn. – Suction catheters for tracheostomy and speech generating devices and accessories will be subject to prepayment reviews by Connolly, the Region C RAC.

CGS launches manual wheelchair review

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02/20/2014

NASHVILLE, Tenn. – High strength, lightweight manual wheelchairs will be the subject of a service-specific prepayment review because of their high claims payment error rate, CGS, the Jurisdiction C DME MAC, announced Feb. 18.

In brief: Gov’t delays hearings, Cardinal highlights AssuraMed

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11/01/2013

WASHINGTON – The Office of Medicare Hearings and Appeals (OMHA) will defer assignments for hearings—possibly up to 28 months, according to a recent notice.

DME MAC puts nebulizers under review

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11/01/2013

INDIANAPOLIS – National Government Services, the Jurisdiction B DME MAC, plans to conduct a widespread prepayment review of nebulizers, related drugs, accessories and dispensing fees, it announced Oct. 29.

Reviews underway for oxygen, neb meds

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10/22/2013

FARGO, N.D. – Noridian, the Jurisdiction D DME MAC is conducting prepayment reviews of oxygen and oxygen equipment claims, and compliance reviews of neb-med claims.