An update from Noridian Administrative Services said the
Jurisdiction D DME MAC may ask for additional documentation for
HCPCS code K0823 — power wheelchair, group 2 standard,
captain's chair, patient weight capacity up to and including 300
pounds. NAS said it is "closely monitoring" the claims due to a
high volume of errors found by the CERT (Comprehensive Error Rate
Testing) contractor. If you receive a request from NAS for
additional documentation on this code, you must submit the
information requested within 30 days to avoid a claim denial. The
six items that will be requested are: valid written order, obtained
prior to delivery; detailed product description; face-to-face
examination; home assessment; proof of delivery; and beneficiary
authorization. Read the
complete update.
