Appropriate Use of Medicare Modifiers for Oxygen Flow Rate

Medicare Coverage for Oxygen and Oxygen Equipment Before discussing Medicare modifiers for oxygen flow rate, let’s understand Medicare payment for oxygen and oxygen equipment. Medicare pays a monthly fee schedule amount for oxygen and oxygen equipment per beneficiary. For stationary oxygen equipment, this monthly fee schedule amount covers the oxygen equipment, contents, and supplies and […]

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Questionnaire to Decide Medicare Secondary Payer (MSP)

The following questionnaire contains questions that can be used to ask Medicare beneficiaries upon each inpatient and outpatient admission. Providers may use this as a guide to help identify other payers that may be primary to Medicare. This questionnaire is a model of the type of questions that may be asked to help identify Medicare […]

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Benefits of Outsourcing DME Billing to Improve Your Revenue

As any durable medical equipment (DME) provider will confess, securing reimbursements from Medicare and private insurance carriers is one of the biggest challenges of running a DME business. It’s time-consuming and labor-intensive, and for all their effort, DME providers don’t always get full reimbursements. If not paid attention, inaccurate DME billing could lead to lower […]

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New CMS Proposals Streamline Medicare Coverage for Innovative and New Diabetes Devices

Lately, CMS has proposed new changes to Medicare Durable Medical Equipment, Prosthetics, Orthotic Devices and Supplies (DMEPOS) coverage, and payment policies. These proposed new changes will streamline Medicare coverage for innovative and new diabetes devices and this brief will help you to understand “How”. The proposed rule for innovative and new diabetes devices New CMS […]

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Basics to Open DME Business

A DME (Durable Medical Equipment) business is a company that deals in healthcare-related items intended for use in the home for an extended period. There are multiple products in DME e.g., wheelchairs, glucose monitors hospital beds, and nebulizers, etc. These products are often covered by insurance plans and Medicare that the equipments are planned for […]

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