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(b) Background on Significant, Anomalous, and Highly Suspect Billing Activity Recently, ACOs and other interested parties have raised concerns about an increase in billing to Medicare for selected intermittent urinary catheter supplies on Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) claims in CY 2023, alleging that the increase in payments represents fraudulent activity (the alleged conduct)
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The requester stated that the ability of the practitioner to interpret continuous glucose monitoring data and communicate changes in the diabetes care plan to our patients is enhanced by the availability of video visits, and the code should therefore be added to the Medicare Telehealth Services List
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