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Audits

Audits
Surviving an Audit
When faced with a Medicare audit, documentation can save the day
CMS/Medicare
TENS Unit HCPCS E0720 and E0730
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid.
CMS/Medicare
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.
CMS/Medicare
CO13 / OA13: Date of death precedes date of service
There isn't too much room to dispute Medicare when you receive this denial code.
CMS/Medicare
CO16: Claim/service lacks information which is needed for adjudication
CO16Claim/service lacks information which is needed for adjudication The CO16 denial code alerts you that there is information that is missing in order

CMS/Medicare
CO 50: Non-covered services not deemed a medical necessity
CO 50, the sixth most frequent reason for Medicare claim denials, is defined as: non-covered services because this is not deemed a medical necessity by
CMS/Medicare
OA109: Claim not covered by this payer/contractor
The second highest reason code for Medicare claim denials reported for HME providers is OA109: claim not covered by this payer/contractor. You must send
CMS/Medicare
Apria to Pay $17.6 Million to Settle Charges
Lake Forest, Calif. Apria Health-care has reached a preliminary agreement with the government and whistleblowers to pay $17.6 million, without admitting
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