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