Hospital Beds Targeted Probe and Educate Review Updates: January - March 2018
The Jurisdiction D, DME MAC, Medical Review Department is conducting a targeted probe and educate reviews of HCPCS code(s) E0250 and E0260.
Based on dollars, the overall claim potential improper payment rate is 34%.
Top Denial Reasons
- Documentation was not received in response to the Additional Documentation Request (ADR) letter.
- Documentation does not support coverage criteria for a semi-electric hospital bed.
- Documentation does not support coverage criteria for a fixed height hospital bed.
- Documentation does not support medical necessity.
For complete details, see the Hospital Beds Quarterly Results of Targeted Probe and Educate Review webpage.
Last Updated Jun 07, 2018