Author
Sarah Hanna
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 [email protected].
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E0607 Home Blood Glucose Monitor
Looking at Medicare denial percentages for the E0607, home blood glucose monitor, the high numbers have held steady at 35 percent in 2009 and 35.3 percent for the first quarter of 2010. -
HCPCS E0181 — Power Pressure Reducing Mattress Overlay/Pad, Alternating, With Pump
The E0181 has an overall 15.2 percent denial rate, and one of the top denial reasons is CO50: These are non-covered services because this is not deemed a "medical necessity" by the payer. -
Medicare Reimbursement
TENS Unit HCPCS E0720 and E0730
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid. -
Pain Management
TENS Unit HCPCS E0720 and E0730
Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid. -
K0007 Extra Heavy Duty Wheelchair
Manual wheelchairs are one of the many products that require a lot of work and documentation to receive payment from Medicare. -
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.