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