[danielh]

We just started receiving notices of recoupment from the Region B DMAC on urological supplies. The reason given is: "This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated." It also states that the change is effective 7/1/2010, but the dates of service are in 2007. Does anybody know what's going on with this?

[Regina]

What supplies are you talking about specifically? We have had claims denied for bags when the patient had a suprapubic tube and received no catheters. We had to get a letter from the physician.