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From the Reimbursement Team: Recovering UNDERPAYMENTS for Accessories on Group 3 Power Wheelchairs

Claims with dates of service Jan. 1, 2016 – June 30, 2016, for accessories used on Group 3 power wheelchairs that were submitted prior to July 5, 2016, were UNDERPAID.

To obtain the correct reimbursement, a written reopening must be submitted. Please note in order to receive the appropriate reimbursement for the affected accessories, the KU modifier MUST BE LISTED ON THE REOPENING REQUEST.

Click here for a copy of the CMS “MLN Matters” on this topic.

If you have any questions regarding this topic, please contact me.

Dan Fedor