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.
The HCPC B4150 is one of the most common enteral nutrients billed to Medicare. But a review of these claims found errors in
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.
Coding for repairs is confusing at best.
Providers have responsibilities in contacting the patient and providing their needed supplies on a regular basis when providing refills.
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.
National Government Services, the Jurisdiction B DME Medicare Administrative Contractor, has recently completed a widespread prepay review of negative
The Jurisdiction D DME MAC (Noridian Administrative Services) says it is seeing many claims for wheelchairs and power mobility devices were it has been
NHIC, the Jurisdiction A DME MAC, has informed suppliers that it has identified many Medicare beneficiaries who have received diabetic supplies that exceed
Noridian Administrative Services (NAS), the Jurisdiction D DME MAC, showed an increase in CO172 (provider specialty code not valid for this type of service)
The month of May rings in a new winner in our DME MAC Attack for the highest denial rate on product code K0823 - Group 2 standard power wheelchair. NHIC
