Article Detail - JA DME

CMS considers serial claims to be claims that are so closely related that the same payment decision should be applied to each claim for the same HCPC and beneficiary. Once the reason for denial for one claim that appears on the serial claim master list is resolved at any appeal level, the DME MACs will identify other claims in the same series that were denied for the same or similar reasons, and take that determination into consideration when adjudicating such claims. For more information and a list of qualifying HCPCs review Serial Claims Review Initiative article on our website.