Monday, February 2, 2009
In a notice issued Jan. 27, NHIC, the Jurisdiction A DME MAC, said it has found incorrect denials for 2009 oxygen contents claims billed for beneficiaries who had reached the 36-month payment cap. The claims were denied with code CO-97: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.
The MAC said it is currently identifying all affected claims and corrections will be made within a few weeks.