Parenteral Nutrition Targeted Probe and Educate Review Updates: July - September 2018
The Jurisdiction D, DME MAC, Medical Review Department is conducting a Targeted Probe and Educate (TPE) review of HCPCS code(s) B4185, B4193, B4197 and B4199. The quarterly edit effectiveness results from July - September 2018 are as follows:
Based on dollars, the overall claim potential improper payment rate is 59%.
Top Denial Reasons
- Documentation does not support coverage criteria
For complete detail see, Parenteral Nutrition Quarterly Results of Targeted Probe and Educate Review.
Last Updated Dec 31, 2018