Surgical Dressings 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) A6021 and A6212. 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 57%.

Top Denial Reasons

  • Documentation does not support coverage criteria.

For complete detail see, Surgical Dressings Quarterly Results of Targeted Probe and Educate Review

            Last Updated Mon, 04 Mar 2019 10:31:13 +0000