Hospital Beds Targeted Probe and Educate Review Updates: April - June 2018
The Jurisdiction D, DME MAC, Medical Review Department is conducting a targeted probe and educate reviews of HCPCS code(s) E0250 and E0260. The quarterly edit effectiveness results from April 2018 - June 2018 are as follows:
- Based on dollars, the overall claim potential improper payment rate is 72%.
Top Denial Reasons
- Documentation was not received in response to the Additional Documentation Request (ADR) letter.
For complete detail see, Hospital Beds Quarterly Results of Targeted Probe and Educate Review.
Last Updated Aug 13, 2018