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It’s a bumpy start for prior authorizations

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03/10/2017

WASHINGTON – CGS and Noridian have begun accepting prior authorization requests for K0856 and K0861, but complex rehab providers say they still don’t have all the information they need to comply with the program.

CGS launches manual wheelchair review

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02/20/2014

NASHVILLE, Tenn. – High strength, lightweight manual wheelchairs will be the subject of a service-specific prepayment review because of their high claims payment error rate, CGS, the Jurisdiction C DME MAC, announced Feb. 18.

Cushions up for prepayment audit

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01/15/2014

NASHVILLE, Tenn. – CGS, the DME MAC for Jurisdiction C, will implement a prepayment edit for E2603 (skin protection wheelchair seat cushion, any depth, but less than 22 inches wide) and E2622 (adjustable skin protection wheelchair seat cushion, any depth, less than 22 inches wide).

CGS posts warning for enteral claims

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09/23/2013

NASHVILLE, Tenn. – An increasing number of errors in Medicare claims for enteral nutrition have led claims processor CGS to post a reminder on its website about documentation and billing requirements.

Oxygen LCD gets updated

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09/14/2012

NASHVILLE, Tenn. – CGS, the DME MAC for Jurisdiction C, posted changes to the local coverage determination (LCD) for oxygen on Sept. 13.