RAC Approved to Audit Diabetes Test Strips

Performant will only review HCPCS code A4253 and claims paid date must be within three years before the Additional Documentation Request.

CMS has approved Recovery Audit Contractor (RAC) Performant to audit blood glucose test or reagent strips (HCPCS code A4253).

“The quantity of glucose test strips (A4353) that are covered depends upon the usual medical needs of the diabetic patient,” a description of the national complex review reads. “Documentation will be reviewed to determine if the utilization guidelines for blood glucose test strips (A4253) were met.”

Per the description, the audit will cover A4253 claims that have a “claim paid date” that is less than three years before the Additional Documentation Request.

About the Author

David Kopf is the Publisher and Executive Editor of HME Business and DME Pharmacy magazines. Follow him on Twitter at @postacutenews.


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