RAC targets pneumatic compression devices
By HME News Staff
Updated Tue January 29, 2019
ATLANTA - Performant Recovery, the national DMEPOS RAC, added pneumatic compression devices to its approved issues list on Jan. 23, the van Halem Group reports. Performant will perform complex reviews to determine if the pneumatic compression device is reasonable and necessary for the patient's condition based on the documentation in the medical record. Claims that do not meet the indications of coverage and/or medical necessity will be denied. The audit will cover E0651 and E0652 for claims having a “claim paid date” that is more than three years prior to the additional development request (ADR) date and prior to Dec. 1, 2015.
Comments