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Tag: DME MAC Jurisdiction D

Also Noted

Jurisdiction D to conduct neb-med review

November 12, 2014HME News Staff

FARGO, N.D. - The Jurisdiction D DME MAC is conducting a documentation compliance review for nebulizer inhalation drugs (J7605 and J7626). The purpose is to verify whether submitted documentation meets payment requirements according to local coverage determinations. To avoid denial, providers should ensure requested documentation is sent to the contractor within the allotted timeframe, medical records supporting the management of obstructive pulmonary disease are submitted and refill requirements...

DME MAC Jurisdiction D

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Also Noted

Probe finds 98% error rate for enteral

December 14, 2012HME News Staff

WASHINGTON - A prepayment probe by the Jurisdiction D DME MAC found that 98 of 100 reviewed enteral claims were denied because of various primary documentation errors, according to a CMS bulletin. Twenty-four percent of claims were denied because of invalid beneficiary exhaustion, meaning suppliers did not receive refill requests from beneficiaries prior to dispensing. Fourteen percent of claims were denied because they lacked a detailed written order (DWO) either written or reviewed by the ordering...

CMS, DME MAC Jurisdiction D, Noridian Administration Services

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