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Tag: K0823


Mobility

Could K0821 help ease bid wounds?

March 1, 2013Elizabeth Deprey

WASHINGTON - There are only two things that separate the K0823 and K0821 power wheelchairs—and they could make all the difference for mobility providers in Round 2 competitive bidding areas.The two power wheelchairs both fall into Group 2, are intended for patients who weigh up to 300 pounds and feature captain's seats. They even have the same coverage criteria, according to industry stakeholders.But K0821 is portable, and the reimbursement for this power wheelchair didn't get slashed under...

K0821, K0823, mobility, PMD, power wheelchairs, pride mobility, Round 2 competitive bidding, Seth Johnson, The Mobility Consultants


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Mobility

K0823

September 25, 2012Elizabeth Deprey

With the DME MACs consistently posting K0823 error rate percentages in the 80s and 90s, it may seem to the outside world that a large majority of providers are submitting claims for unnecessary power wheelchairs.That's an inaccurate assumption, say industry stakeholders.“Part of the issue we have is that they're not separating technical issues from true medical necessity,” said Sylvia Toscano, owner of Professional Medical Administrators. “I'd like to see auditors use better clinical...

K0823, power wheelchairs


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On the Editor's Desk

Coming soon: 'widespread probe'

June 16, 2009Liz Beaulieu, Editor

Noridian Administrative Services, the DME MAC for Jurisdiction C, published a bulletin June 11 that states it will conduct a "widespread probe" of claims for standard power wheelchairs (K0823). "Widespread reviews are used to determine the extent of potential problem areas across multiple suppliers," Noridian stated. Any provider billing Jurisdiction C for K0823s is subject to review. Be on the lookout for additional documentation request (ADR) letters. Noridian has had its eye on K0823s for a while. Liz...

K0823, On The Editor's Desk, probe


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