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Thursday, July 30, 2009

Jurisdiction B News: Surgical Dressings û Prepayment Review Update

 
 
 
 
Surgical Dressings � Prepayment Review Update The National Government Services Jurisdiction B Medical Review Department recently conducted a prepayment review for surgical dressings (HCPCS A6209 � A6214).  This is a widespread random selection of submitted claims from multiple suppliers which are reviewed for medical necessity. A total of 4,080 targeted services were reviewed and 3,795 (93.01%) of that total were denied.  In this review, a wide variety of issues were found.  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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