Re: Results of Region C audits
Description
Collection
Title:
Re: Results of Region C audits
Text:
I briefly reviewed the region C results on the probe audits from 4/1/05 -
6/30/05. I have concluded that this data is not accurate. One item in specific
that caught my attention was L1686. This report states that 6 facilities
billed a total of 9 of these items in that period with a 84% denial result. How
can this be true when my facility alone received over 9 probes with a 100%
success result?
Also, why is Medicare reviewing L0560 and L0565. These codes are no longer
valid with the Medicare system. They paid some of them anyway???
Since Medicare will not stop the audits until a 90% compliance rate is
computed per item, it is critical that the data is accurate. It is not and the
audits will not stop. This is a great argument for our organizations to demand
the audits stop until Medicare can get their act together. AAOP,AOPA, NAAOP what
do you think? We need to challenge this data.
6/30/05. I have concluded that this data is not accurate. One item in specific
that caught my attention was L1686. This report states that 6 facilities
billed a total of 9 of these items in that period with a 84% denial result. How
can this be true when my facility alone received over 9 probes with a 100%
success result?
Also, why is Medicare reviewing L0560 and L0565. These codes are no longer
valid with the Medicare system. They paid some of them anyway???
Since Medicare will not stop the audits until a 90% compliance rate is
computed per item, it is critical that the data is accurate. It is not and the
audits will not stop. This is a great argument for our organizations to demand
the audits stop until Medicare can get their act together. AAOP,AOPA, NAAOP what
do you think? We need to challenge this data.
Citation
“Re: Results of Region C audits,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 4, 2024, https://library.drfop.org/items/show/225633.
