Latest Blogs
-
DME Billing Services
DME Repairs and Maintenance
Durable Medical Equipment at some point needs DME Repairs and Maintenance from your DME supplier. Repair: DME repairs by a DME supplier include fixing equipment that is damaged or worn. Maintenance: This simply means cleaning, checking, and servicing the patient’s DME. If possible, patients are expected to do regular maintenance themselves using the owner’s manual. But DME suppliers are expected to perform maintenance if the task is more complicated and requires a professional. Providers need…
Read More » -
DME Billing Services
Know your DME HCPCS Codes
In DME medical billing, your DME coders require correct HCPCS codes along with correct modifiers that are used for providing more details about the equipment. If your medical coders are unable to use modifiers or not using them in the correct manner, then the claims may get denied from the insurance company. Some common DME modifiers which include RR- rental, UE- purchase of used equipment, and NU- purchase of new equipment. When a laboratory demand,…
Read More » -
DME Billing Services
CMS announcement for durable medical equipment suppliers
The Centers for Medicare & Medicaid Services (CMS) announced updated guidance regarding several emergency waivers related to Medicare and Medicaid policies and regulatory updates during this pandemic for durable medical equipment suppliers. The CMS very likely will continue to announce supplemental guidance on the blanket waivers. Here we have a detailed summary of the relevant waivers that will affect durable medical equipment suppliers, prosthetics, orthotics, and supplies (DME) and are projected to prepare the American…
Read More » -
DME Billing Services
DME Prior Authorization Programs – GAO
According to the analysis of GAO, CMS’s prior authorization programs for durable medical equipment (DME) created an estimated $1.9 billion in Medicare savings. CMS’s prior authorization programs for durable medical equipment (DME) and mobility devices have controlled unnecessary spending, according to a new Government Accountability Office (GAO) report. This was created between $1.1 and $1.9 billion in Medicare savings from 2012 to 2017. Prior authorization is a payment approach used by private insurers that generally…
Read More » -
DME Billing Services
CY 2020 Update for Durable Medical Equipment
CMS has revised previous updates of the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule on January 3, 2020, to reflect an updated Change request (CR) that corrected the CY 2020 maintenance and servicing fee for certain oxygen equipment to $73.02 in the CR’ s business requirement 11570.9. The transmittal number, CR release date, and link to the transmittal also changed. All other information remains the same. These changes are intended for providers…
Read More »