WASHINGTON – CMS has issued a final rule that addresses suspicious billing activity within the Medicare Shared Savings Program that resulted in an increase in DMEPOS billing for certain intermittent ...

WASHINGTON – CMS has issued a final rule that addresses suspicious billing activity within the Medicare Shared Savings Program that resulted in an increase in DMEPOS billing for certain intermittent ...

A4353 (Intermittent urinary catheter with insertion supplies) 4. CMS uses claims data from Medicare Parts A and B to calculate various factors in MSSP, including expenditures for ACO-assigned ...

intermittent urinary catheter, with insertion supplies 3. Payments for these codes are excluded. Codes are considered suspect when there is an unexplained spike in claims either in volume or dollar ...