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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...

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Also Noted

Medicare overpays for VES, report finds

January 13, 2014HME News Staff

BALTIMORE - Medicare payments for vacuum erection systems (VES) are more than twice the amount paid by other payers, such as the Veterans Affairs, and the amount paid by consumers online, the Office of Inspector General (OIG) has found. The OIG recommends CMS determine whether the payments are “grossly excessive” and, if they are, seek legislative authority to add VES to the competitive bidding program, which most recently resulted in a 45% reduction in payments for certain HME. By adjusting...

Medicare, OIG, vacuum erection systems


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