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OIG to CMS: Take stronger look at ‘place-of-service’ claims


WASHINGTON – CMS’s edits didn’t detect $18.4 million in payments in 2015 for inappropriate claims for DME provided during non-covered stays in skilled-nursing facilities, according to a report from the Office of Inspector General.

In brief: PECOS edits kick in, Harrison speaks out


BALTIMORE – The PECOS edits are scheduled to go into effect today. Noridian Administrative Services, the DME MAC for Jurisdiction D, reminded providers in a Jan.