Are your durable medical equipment (DME) claims for power wheelchairs being denied? You’re not alone. In a recent NHIC, Corp. quarterly review, 70 percent of claims for HCPCS Level II code K0823 Power wheelchair, group 2 standard, captain’s chair, patient weight capacity up to and including 300 pounds were denied. Read more »
A review of claims for surgical dressings by NHIC, Corp. identified billing discrepancies regarding the correct use of modifiers A1 - A9. The use of these modifiers is required, but the way in which durable medical equipment (DME) suppliers are using them is questionable, according to the DME Medicare Administrative Contractor (MAC) for Jurisdiction A.
National Heritage Insurance Company (NHIC) issued a notification update Oct. 14 to clarify its coding and utilization guidelines for certain male external catheters supplied to Medicare beneficiaries.
Monday, December 1st, 2008
National Heritage Insurance Corp. (NHIC) is the newest Part A/Part B Medicare Administrative Contractor (A/B MAC) to be named by the Centers for Medicare & Medicaid Services (CMS).
CMS has awarded NHIC a five-year, cost-plus-award-fee contract to administer Part A and Part B Medicare claims payment in Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont — also known as jurisdiction 14. The contract is reportedly worth about $176 million, according to a press release issued by CMS on Nov. 19. Read more »
Copyright © 2008 American Academy of Professional Coders | 2480 South 3850 West, Suite B, Salt Lake City, Utah 84120