August 2014

DME admins to reject claims with errors

Beginning September 1, paper claims that are billed with incorrect modifiers will be returned as “unprocessable,” according to Nash­ville, TN-based CGS Administrators, the Jurisdiction C Durable Medical Equipment Medicare Administrative Contractor (DME MAC).

Prior to this, such claims have been manually corrected and processed. CGS said the change is being made to ensure consistency with electronic claims, which are rejected if they have incorrect modifiers.

Go to cgsmedicare.com to use its claim preparation tools, including a modifier finder.

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