RAC to audit test strips

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Tuesday, June 18, 2019

WASHINGTON – Performant, the national RAC for DME, received approval from CMS on June 14 to audit blood glucose test strips (A4253) nationwide.

“The quantity of glucose test strips that are covered depends upon the usual medical needs of the diabetic patient,” reads an announcement on the RAC’s website. “Documentation will be reviewed to determine if the utilization guidelines for glucose test strips were met.”

The RAC will be reviewing claims that have a “claim paid date” that is less than three years prior to the additional documentation request.