Monday, March 21, 2011
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.