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Wiki CO-B15 Denial for DME

shoodbwurkin

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las Vegas, NV
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We have received numerous denials for CO B15 for DME claims. The appeal returned the explanation that the ordering provider was not permitted to order the DME items.
The Physician is PECOS enrolled and the orders he writes for DME providers are denied in Jurisdiction D only. Other jurisdictions process his claims with no problems. We provided proof that the physician billed for his service and was paid in our appeal. Medicare will only tell us that this is an internal denial and will provideno other information. ANy Ideas where to go next.
 
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