DLM Legal Notes: CGI adds new Issue affecting Ohio DME

Tuesday, December 1, 2009

CGI adds new Issue affecting Ohio DME

CGI, the Recovery Audit Contractor (RAC) for Ohio, has announced Wheelchair Bundling as the newest "Issue" under review.

CGI will now begin its automated review of billing for certain wheelchair bases, options, and accessories in order to make sure that Medicare overpayments have not been made on certain components which are not separately payable. Durable Medical Equipment claims are affected by this issue. For more information, the the CGI website: http://racb.cgi.com/ or one of the related links clarifying the billing issues:

Policy Related Links
National Government Services (NGS) Policy Article for Wheelchair Options/Accessories (A47229)
National Government Services LCD for Wheelchair Options/Accessories (L27223)
Noridian LCD Policy A19846
CMS Pub 100-03, Ch 1, § 280.1 & 280.3

Of course, please call with any questions.

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DLM Legal Notes

Tuesday, December 1, 2009

CGI adds new Issue affecting Ohio DME

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