Service Specific Post-Payment Reviews

The Jurisdiction D, DME MAC, Medical Review Department is conducting post-payment service specific review for the below specialty. The following quarterly edit effectiveness results from February 2021 – April 2021 can be located on the Medical Record Review Results webpage:

  • Spinal Supplies

The Jurisdiction D, DME MAC, Medical Review is initiating service specific post-payment medical record review of claims for the following HCPCS codes:

  • A4385: OSTOMY SKIN BARRIER, SOLID 4X4 OR EQUIVALENT, EXTENDED WEAR, WITHOUT BUILT-IN CONVEXITY, EACH
  • A4414: OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), WITHOUT BUILT-IN CONVEXITY, 4 X 4 INCHES OR SMALLER, EACH

Information on these new reviews can be located on the Medical Record Review Results webpage.

 

            Last Updated Wed, 02 Jun 2021 15:29:38 +0000