September 15, 2020 CGS announced that they will be conducting complex post-pay medical reviews on urological supplies ( A4351, A4352, A4353, A4355 and A4316) codes.
These codes have been selected based on data analysis, which revealed that the allowed dollars for... September 14, 2020 By Sandra Gauron, Appeals Coordinator
CGS announced that they will be conducting complex post-pay medical reviews on specific knee orthoses (L1833, L1851) and surgical dressing (A6196, and A6212) codes.
These codes have been selected based on... September 11, 2020 CMS has approved two new topics for the DMEPOS RAC, Performant, to begin reviewing, effective September 8, 2020.
Continuous Glucose Monitor: Medical Necessity and Documentation Requirements
Description: Documentation will be reviewed to determine...
CGS adds Urological Supplies to their widespread postpayment audits
CGS Complex Post-Pay Medical Reviews on Knee Orthotics and Surgical Dressings
RAC adds Continuous Glucose Monitors and Supplies to their approved issues list
