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E0935 Continuous Passive Motion Exercise Device for Use on Knee Only
With an overall denial rate of 32.7%…
Working Down Denials by Sarah Hanna
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Working Down Denials
Sarah Hanna is a reimbursement consultant and vice president of ECS Billing & Consulting, Tiffin, Ohio, and specializes in proper billing protocols, Medicare coverage guidelines and billing office procedures. She can be contacted at 419/448-5332 or sarahhanna@bright.net.
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E0935 Continuous Passive Motion Exercise Device for Use on Knee Only
Data shows that the CPM has an overall denial rate of 32.7 percent for Medicare. The top denial reason code is CO50...
E0607 Blood Glucose Monitor, Home
This HCPC code had a 28 percent denial rate last year, and three of the top denial reason codes were related to same or similar equipment issues....
E0277 Powered Pressure-Reducing Air Mattress
Denials for this claim ran 22.7 percent in the second quarter this year....
E0463 Pressure Support Ventilator
HCPCS code E0463 (pressure support ventilator) is a standout as one with a higher-than-average denial rate — 33.5 percent overall....
Surgical Dressings with HCPCS A6209-A6214
Surgical dressings are the subject of a new widespread prepay review by National Government Services, the Jurisdiction B DME MAC....
Make Sure Enteral Claims Are Complete
The HCPC B4150 is one of the most common enteral nutrients billed to Medicare. But a review of these claims found errors in...
PR16 Claim service lacks information needed for adjudication
National Government Services, the Jurisdiction B DME MAC, recently addressed issues with claims filing resulting in a PR16 denial code with an M124 remark code....
Be Repair-Aware
Coding for repairs is confusing at best....
Be Careful with Supply Refills
Providers have responsibilities in contacting the patient and providing their needed supplies on a regular basis when providing refills....
Watch Out for the KE Modifier
On Jan. 1, 2009, the KE modifier hit the HME stage. Since then, this little modifier has been causing some providers a lot of anxiety and stress....
