Performant audit updates - 9/1/2015

Performant Recovery posted two new issue in to its CMS list for providers in Region A. (See link for individual state applicability.)

According to the Performant website, the new issues are:

For DME suppliers:

• Ventilators-Jurisdiction A. Potential incorrect billing occurred when claims for ventilators were billed without an indication supporting the coverage and/or medical necessity guidelines outlined in the Medicare National Coverage Determinations Manual (NCD), §280.1, and the “Correct Coding and Coverage of Ventilators” Joint DME MAC Publication, including when ventilator codes are incorrectly billed for CPAP- or bi-level PAP-only use.
• Parenteral Nutrition-Jurisdiction A. Parenteral Nutrition – JA .