AUDIT ALERT FOR NON PA DEMO STATES

A new contractor for the non-demonstration states named Strategic Health Partners will be targeting mobility claims.  The new specialty contractor is called a Supplemental Medical Review Contractor (SRMC).    They will be auditing for Medical Necessity. 

If you have already been audited on a pre-pay by your contractor and passed you can let Strategic  Health Partners (SHP) know and they will drop their review. 

Make sure you have all your documentation in order so when you receive these notices you are prepared. They will follow the same processes as your local DME MAC jurisdiction.

We will keep our members informed as we learn more.  For further questions, please contact

Peggy Walker    800-401-3643  

Ronda Buhrmester    888-665-6518

You can also go to the US Rehab website and print the PMD check list which will also help you prepare.