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Jurisdiction B, C Conducting Post-pay Orthosis Review

by The O&P EDGE
August 14, 2020
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CGS, the Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction B and Jurisdiction C, announced that its Medical Review staff will conduct a complex post-pay service-specific medical review of Healthcare Common Procedure Coding System (HCPCS) Code L-0650 (lumbar-sacral orthosis) claims.

The review is being conducted because data analysis revealed that Jurisdiction C’s allowed dollars for L-0650 were significantly above expected amounts. Additionally, CGS said that the spinal orthosis policy group ranked third in total Comprehensive Error Rate Testing errors.

Related posts:

  1. CGS Announces Widespread Post-pay Service-specific Review
  2. Jurisdiction C Reviewing LSO Claims
  3. CGS Conducting Post-pay AFO Reviews
  4. CGS Reviewing Therapeutic Shoe Claims
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