Manual Wheelchair Targeted Probe and Educate Review Updates: January - March 2019

The Jurisdiction D, DME MAC, Medical Review Department is conducting a Targeted Probe and Educate (TPE) review of HCPCS code(s) K0001 and K0003. The quarterly edit effectiveness results from January - March 2019 are as follows:

Based on dollars, the overall claim potential improper payment rate is 35%.

Top Denial Reasons

  • Documentation does not support coverage criteria.
  • Documentation does not support coverage criteria for a lightweight wheelchair.

For complete detail see, Manual Wheelchair Quarterly Results of Targeted Probe and Educate Review.


            Last Updated Thu, 27 Jun 2019 09:41:23 +0000