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CGS adds Urological Supplies to their widespread postpayment audits

CGS announced that they will be conducting complex post-pay medical reviews on urological supplies ( A4351, A4352, A4353, A4355 and A4316) codes.  These codes have been selected based on data analysis, which revealed that the allowed dollars for...

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CGS Complex Post-Pay Medical Reviews on Knee Orthotics and Surgical Dressings

By Sandra Gauron, Appeals Coordinator CGS announced that they will be conducting complex post-pay medical reviews on specific knee orthoses (L1833, L1851) and surgical dressing (A6196, and A6212) codes.  These codes have been selected based on...

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RAC adds Continuous Glucose Monitors and Supplies to their approved issues list

CMS has approved two new topics for the DMEPOS RAC, Performant, to begin reviewing, effective September 8, 2020. Continuous Glucose Monitor: Medical Necessity and Documentation Requirements Description: Documentation will be reviewed to determine...

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