Skip to Content

Tag: Prepayment audit


News

In brief: CMS reports glitch, OIG reports overpayments

January 17, 2014HME News Staff

NASHVILLE, Tenn. - A problem with ordering/referring physician data in the DME MAC claim system is affecting processing, as well as the data available in the myCGS web portal and the Jurisdiction C IVR, according to a bulletin from CGS. CMS and DME MAC system maintenance contractors are researching the issue. CGS says it will provide more information when it becomes available. CMS on Jan. 6 started denying claims with the names of physicians who are not enrolled in PECOS.Medicare overpays for...

American Association of Diabetes Educators, BioScrip, CareFusion, Claim System, Community Pharmacies, Comparative Billing, Convaid, CPAP, Diabetes Testing Supplies, DME MAC


Read Full Articlered right arrow icon

Also Noted

Cushions up for prepayment audit

January 15, 2014HME News Staff

NASHVILLE, Tenn. - CGS, the DME MAC for Jurisdiction C, will implement a prepayment edit for E2603 (skin protection wheelchair seat cushion, any depth, but less than 22 inches wide) and E2622 (adjustable skin protection wheelchair seat cushion, any depth, less than 22 inches wide). The contractor is conducting the edit because of high claims payment error rates for this product category, according to a Jan. 14 bulletin. For claims subjected to the edit, providers will need to provide delivery documentation;...

CGS, DME MAC, Prepayment audit, wheelchair seat cushions


Read Full Articlered right arrow icon