INDIANAPOLIS, Jan. 10, 2013—National Government Services—the Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC)—will be offering a free 90-minute Transcutaneous Electrical Nerve Stimulators (TENS) webinar on Weds., Jan. 23, 2013. This webinar will be conducted from 2:00-3:30 p.m. eastern time (ET) and is geared toward all suppliers who bill the DME MAC for TENS units and supplies.
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National Government Services, the Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Medical Review Department has completed a widespread prepayment Targeted Medical Review (TMR) of 314 random claims for continuous positive airway pressure (CPAP) devices, HCPCS code E0601KH. Only 61 claims were allowed as billed and 197 were denied—an error rate of 81 percent.
National Government Services, the Jurisdiction B DME MAC, reports an increase in claims, overpayment requests, appeals requests, correspondence and other documents that are being submitted stapled together. “This is not an acceptable form of submission,” the DME MAC said in a release last week. “Submitting multiple pages stapled together will severely slows down the process of scanning the mail. Documents submitted with staples must be manually removed prior to scanning.
National Government Services, the Jurisdiction B DME MAC will conduct a PWK and esMD webinar at 10 a.m. ET on Thursday, March 29, geared to all DMEPOS suppliers. The 90-minute program will cover the PWK (paperwork) process for submitting documentation with an incoming electronic claim, as well as how the esMD (electronic submission of medical documentation) process is used to send documentation electronically in response to an additional documentation request (ADR) letter.
National Government Services, Jurisdiction B Medical Review Department is reporting an 81 percent claims error rate in a prepayment medical review process being conducted for K0823 power chairs.