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Medicare Reimbursement

News and guidance on Medicare reimbursement for home medical equipment, from fee schedules to payment policy changes.

  • TENS Unit HCPCS E0720 and E0730

    Transcutaneous Electrical Nerve Stimulation (TENS) Devices, HCPCS E0720 and E0730, are challenging items to get paid.
    Read More →: TENS Unit HCPCS E0720 and E0730
  • PR16 Claim service lacks information needed for adjudication

    National Government Services, the Jurisdiction B DME MAC, recently addressed issues with claims filing resulting in a PR16 denial code with an M124 remark code.
    Read More →: PR16 Claim service lacks information needed for adjudication
  • CO16: Claim/service lacks information which is needed for adjudication

    CO16Claim/service lacks information which is needed for adjudication The CO16 denial code alerts you that there is information that is missing in order
    Read More →: CO16: Claim/service lacks information which is needed for adjudication
  • CO 50: Non-covered services not deemed a medical necessity

    CO 50, the sixth most frequent reason for Medicare claim denials, is defined as: non-covered services because this is not deemed a medical necessity by
    Read More →: CO 50: Non-covered services not deemed a medical necessity
  • OA109: Claim not covered by this payer/contractor

    The second highest reason code for Medicare claim denials reported for HME providers is OA109: claim not covered by this payer/contractor. You must send
    Read More →: OA109: Claim not covered by this payer/contractor
  • Apria to Pay $17.6 Million to Settle Charges

    Lake Forest, Calif. Apria Health-care has reached a preliminary agreement with the government and whistleblowers to pay $17.6 million, without admitting
    Read More →: Apria to Pay $17.6 Million to Settle Charges

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