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Wiki DME medicaid denials

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christinagoins

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Yakima, WA
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We have been receiving denials from our medicaid plans on our DME's such as L1902 and L3908, stating it is included in a global surgery package. We have never had this issue before. I have tried looking up changes to billing DME's but cannot find anything. I called the insurance and they can find no changes. I have added a modifier 58 on the DME as well and it is still being denied. I have appealed these as well. Does anyone know of any changes? I live in Washington state, I do not know if that matters at all.
 
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This is very strange. DMEs should not be part of the global surgery package. I would look up the insurer policy guidelines on their website, per jurisdiction, to find out what they require.
 
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