NAS Continues Oxygen Review while NHIC Starts One
FARGO, N.D. — Noridian will continue its widespread
complex review of oxygen claims, the Jurisdiction D DME MAC said
March 14.
Its third quarter review of claims for HCPCS E1390 and E0431
resulted in an overall error rate of 66 percent, an increase from
54 percent during the first quarter and a decrease from 67 percent
in the second quarter of the review. However, because the error
rate remains high, the review will continue.
Meanwhile, NHIC, the DME MAC for Jurisdiction A, will begin a
widespread documentation compliance prepayment review for oxygen
and oxygen equipment. The review is being initiated due to a high
volume of claim errors identified by the CERT contractor for
missing and/or incomplete documentation.
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