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Tag: pre-payment review

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Review finds 63% error rate for CPAP devices

June 26, 2014HME News Staff

FARGO, N.D. - A pre-payment review by Noridian found potential improper payment rates of 63% for CPAP devices from February to May 2014. The Jurisdiction D DME MAC reviewed 2,873 claims with the KH modifier (first month of billing) and 1,663 claims with the KJ modifier (4th-13th month of billing). It found most denials were due to invalid proof of delivery; no documentation in response to the additional documentation request letter; documentation submitted did not demonstrate that face-to-face...

CPAP, Noridian, pre-payment review

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