CMS Approved Audit Issues

This list includes all CMS-approved audit issues:

Click header to sort column.
Issue NameIssue TypeClaim TypesStatesDate ApprovedDetails
Therapeutic Footwear Utilization CMS Issue Number: C005392010AutomatedDME Non-Physician - SuppliesDME Issues: Suppliers who bill CIGNA Government Services2/15/2012 Details
Rituximab – Non-covered/Non-allowed Service-Part B CMS Issue Number: C001442011AutomatedPhysicianAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia2/13/2012 Details
Ambulance/transport during a SNF stay to or from a diagnostic or therapeutic site CMS Issue Number: C001472011AutomatedAmbulanceAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
Admit Source for Inpatient Psychiatric Facilities CMS Issue Number: C003022010AutomatedInpatient Hospital - Inpatient PsychAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
Inappropriate Payments for Transformational Epidural Injections – Carrier CMS Issue Number: C003462010AutomatedPhysicianAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
Incorrect diagnosis code billed for blood clotting factor CMS Issue Number: C002052011AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
Rituximab – Non-covered/Non-allowed Service-Outpatient CMS Issue Number: C001432011AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
Improper payments for Facet Joint Injections- Outpatient CMS Issue Number: C001662011AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
Trastuzumab (Herceptin) Non-Covered Dx- Outpatient CMS Issue Number: C002252011AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
Incorrect billing of Home Health Partial Episode Payment claims CMS Issue Number: C002022011AutomatedHHAAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia1/27/2012 Details
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