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Friday, May 22, 2009

Jurisdiction B News: Glucose Testing Supplies – Prepayment Review Update

 
 
 
 
Glucose Testing Supplies – Prepayment Review Update The National Government Services, Jurisdiction B Medical Review department continues to conduct a prepayment targeted medical review for glucose testing supplies billed with the KS modifier (non-insulin treated beneficiaries).  This is a widespread random selection of submitted claims based on a targeted service(s) from multiple suppliers which are reviewed for medical necessity. The findings from this widespread service review during the first quarter of 2009 are showing that a large percentage of claims are being denied for lack of response to documentation requests.  A more in-depth article regarding this issue can be found on the NGS web site under Education and Support – Tools and Materials – Clinical Education. 

 
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