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denial rate

Jurisdiction C DME MAC releases results of prepay reviews


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%.

High error rate for PMDs sticks


WASHINGTON – CGS, the Jurisdiction D DME MAC, released an overview of its K0823 prepay review activity this month, and the results are ugly.