Home » Knowledge Center » Posts Tagged "DME"
Knowledge Center
Hot Topics
OIG work plan

Add These OIG Watch Items to Your Audit List

By
In Billing
Oct 18th, 2019
No Comments
The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items ...
Read More
RTLT modifiers

Change to RT and LT Modifier Use

By
In Billing
May 31st, 2019
2 Comments
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being ...
Read More

28 DME Documentation Checklists

By
In Audit
May 14th, 2019
No Comments
If you want to smooth reimbursement claims for durable medical equipment, CGS offers 28 documentation checklists that identify what must be included. Recently updated, these checklists include the following items and services: Enteral nutrition Glucose monitors and supplies Hospital beds and accessories Immunosuppressive drugs Large volume nebulizers and inhalation drugs Lower limb prostheses Manua...
Read More
Online

Are Recovery Auditors Reviewing Your Claims?

By
In Audit
Apr 12th, 2019
No Comments
Recovery Auditors have been busy. This year alone there are 23 topics under review and three more were just proposed. If you are coding/billing for any of the topics under review, this may be all the reason you need to conduct an internal review. Who Are They? Recovery Auditors, or Recover Audit Contractors (RACs), review ...
Read More
Eye chart

Focus on Documentation to Improve Proper Payments for Lenses

By
In Billing
Mar 6th, 2019
No Comments
Insufficient documentation accounted for more than 77 percent of the 85.2 percent improper payment rate for lenses during last year’s reporting period, according to the 2018 Medicare Fee-for-Service (FFS) Supplemental Improper Payment Data. You can help reduce this staggering error rate by being aware of the national and local coverage policies physicians and non-physician practitioners ...
Read More

  • Webinars

  • Latest Poll

    Would it help you to have the American Dental Association’s D codes included in the HCPCS Level II code book?