Widespread Prepayment Probe for HCPCS Code L4360 (Pneumatic Walking Boot)

Posted on by DJO Healthcare Solutions

DME MAC A will be initiating a widespread prepayment probe of claims for the following HCPCS code:

L4360 (WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE)

This review is being initiated due to a high volume of claim errors identified by the Comprehensive Error Rate Testing (CERT) contractor.  Please click here to see entire article: L4360 Probe

Published by DJO Healthcare Solutions

For nearly 30 years, DJO® Healthcare Solutions has been providing DME solutions designed to help our partners achieve their goals. Each of our customers business needs are unique which is why we custom design all our programs to adapt to your current and future DME objectives. From automation software, inventory management, real-time insurance benefits verification to various DME billing programs, a partnership with DJO Healthcare Solutions offers unmatched expertise and customization.

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