Tag: Noridian Administration Services
Probe finds 98% error rate for enteral
December 14, 2012HME News Staff
WASHINGTON - A prepayment probe by the Jurisdiction D DME MAC found that 98 of 100 reviewed enteral claims were denied because of various primary documentation errors, according to a CMS bulletin. Twenty-four percent of claims were denied because of invalid beneficiary exhaustion, meaning suppliers did not receive refill requests from beneficiaries prior to dispensing. Fourteen percent of claims were denied because they lacked a detailed written order (DWO) either written or reviewed by the ordering...
