CGS adds ostomy supplies, diabetic shoes to reviews

Wednesday, September 23, 2020

NASHVILLE, Tenn. – CGS has announced two more widespread post-pay, service-specific reviews for ostomy supplies and therapeutic shoes/inserts. 

For ostomy supplies, the codes affected are A4431, A4434, A5081, A5122. CGS says data analysis showed Jurisdiction C’s allowed dollars for these codes were significantly above expected amounts. Additionally, these codes were consistently ranked in the top 20 for CERT errors. 

For therapeutic shoes/inserts, the codes affected are A5500 and A5512 through A5514. CGS says data analysis showed Jurisdiction B’s allowed dollars for these codes were significantly above expected amounts. Additionally, this policy group ranked No. 8 in total CERT errors.