June 24, 2019 By Donna Youngblood, RN, Clinical Consultant
The Office of Inspector General (OIG) released a report (June 2019) regarding billed polysomnography services and denied claims. Medicare coverage for polysomnography services includes a diagnostic sleep... June 18, 2019 Performant Recovery posted one new complex issue to their approved issues list.
Blood Glucose Test or Reagent Strips (A4353)
On June 14, 2019, Performant Recovery, the National DMEPOS RAC, added blood glucose test or regeant strips (A4353)... June 18, 2019 By Sandra Gauron, Appeals Coordinator
In an effort to provide ALJ backlog relief, CMS launched the Settlement Conference Facilitation (SCF) pilot program in July 2014. SCF is an alternative dispute resolution process designed to bring the appellant... June 14, 2019 On December 6, 2018, the DME MACs issued a joint publication notifying suppliers of a change in the way to bill for bilateral products dispensed on the same day. Previously, when two of the same items are given to patients for use on both limbs, the... June 10, 2019 In a recent Special Open Door Forum CMS provided more details for the pressure reducing support surfaces prior authorization program. Beginning on July 22, providers in four states will have to submit prior authorization requests for five support surface...
POLYSOMNOGRAPHY SERVICES AND OIG REPORT FINDINGS
RAC Audit Alert: Blood Glucose Test or Reagent Strips
OMHA Expands the Settlement Conference Facilitation
Avoid an Unprocessable Medicare Claim Denial
CMS provides details on prior authorization for support surfaces
