DME MAC reports latest denial rate for K0823

Thursday, October 4, 2012

HINGHAM, Mass. – Seventy-four percent of the claims for K0823 submitted in Jurisdiction A between April 2012 and June 2012 were denied, according to a widespread prepayment review by NHIC. The review examined 514 claims submitted by 188 suppliers. The most common reasons for denial had to do with issues with documentation (56%), the seven-element order (30%), detailed product description (18%) and the delivery ticket (9%).