Hospital Beds Targeted Probe and Educate Review Updates: October-December 2018

The Jurisdiction A, DME MAC, Medical Review Department is conducting a Targeted Probe and Educate (TPE) review of HCPCS code(s) E0250 and E0260. The quarterly edit effectiveness results from October 2018 through December 2018 are as follows:

Based on dollars, the overall claim potential improper payment rate is 44%.

Top Denial Reasons

  • Documentation does not support coverage criteria for a fixed height hospital bed.

For complete detail see, Hospital Beds Quarterly Results of Targeted Probe and Educate Review

 

Last Updated Mar 14, 2019