Tag: KX modifier
OIG rips on HME documentation
January 28, 2010HME News Staff
WASHINGTON - About 50% of the time, the KX modifier does not ensure that HME providers have the required supporting documentation on file, according to a new report from the Office of Inspector General (OIG).
The OIG examined 100 claims with the KX modifier from 2006 totaling $8,809. It found that providers didn't have the required documentation on file for 54 claims totaling $4,574.
"Based on our sample, we estimated that Palmetto GBA (the DMERC for Jurisdiction C at the time) paid approximately...