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Prepayment review focuses on CPAP


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


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


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.

MAC publishes prepay reviews for support surfaces, glucose monitors


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.

In brief: GAO rejects protest, Hoveround lays off 20


NEW YORK – The Government Accountability Office (GAO) has denied Rotech’s protest that the Department of Veterans Affairs (VA) unreasonably ignored recent, relevant information when it decided Rotech wasn’t financially fit to win contracts to supply veterans with home oxygen equipment, Law360 reports.

In brief: CMS reports glitch, OIG reports overpayments


NASHVILLE, Tenn. – A problem with ordering/referring physician data in the DME MAC claim system is affecting processing, as well as the data available in the myCGS web portal and the Jurisdiction C IVR, according to a bulletin from CGS.

In brief: NGS details reasons for denials, TiLite shakes up representation


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.