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| Therapeutic Shoes - Documentation Requirements The National Government Services, Jurisdiction B Medical Review department recently conducted a widespread post pay probe for HCPCS codes A5500, A5501, A5512, and A5513. A widespread post pay probe is a selection of paid claims reviewed for medical necessity based on a particular service from multiple suppliers. The suppliers who had claims selected and reviewed for this probe have been sent final probe determination letters. The letter indicates the probe review findings and any overpayment(s) identified. The claims that were found to have been paid in error have been adjusted and a demand letter has been generated. An extensive article regarding the documentation requirements for Therapeutic Shoes for Persons with Diabetes has been posted to the National Government Services Web site at:www.NGSMedicare.com, then select Jurisdiction B DME MAC, then select Review Process, then click on Medical Review, then click on the Therapeutic Shoes - Documentation Requirements |
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