DME Billing Guide & Resources

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DME Billing Guide & Resources “My sole focus has been in DME, it’s where I have been for 17 years”. My knowledge has the pr I learned equipment from working with the vendors.

My passion is everything DME, it's what I have been doing for 17+ years. I got my lucky start in 1995 at Drug Emporium Home Health they had a little DME store inside Drug Emporium and had a help wanted sign, I applied and got the job! I have Mike Allen (store manager...wish I knew where he was today) to thank for my career, he gave me the opportunity to learn all aspects in the DME industry and that is what I did! I learned through trial and error and a lot of reading, first what the equipment was and how to use it, how to do a good intake, how to bill and get paid! I learned how to do billing electronic with Dezine software (read a lot), I learned how to bill from billing claims and getting denials! I went to any and all available workshops to stay with in guidelines, I went to fraud seminars. It takes a lot of dedication to be the best at what you do, I was dedicated.

This is Gizmo, he loves his mamas new scooter 🥰🤣 that's the Zii robot in grey, only 36lbs and $1995Makeumobile.com Mobil...
19/12/2023

This is Gizmo, he loves his mamas new scooter 🥰🤣 that's the Zii robot in grey, only 36lbs and $1995
Makeumobile.com
Mobility Scooter

11/09/2021
24/05/2021

Mobility Scooters call us
Makeumobile.com

Make U Mobile is a dealer fit EZ LITE CRUISER.We Repair, Replace Batteries and can order parts.
01/10/2020

Make U Mobile is a dealer fit EZ LITE CRUISER.
We Repair, Replace Batteries and can order parts.

All of the EZ Lite Cruiser Deluxe Models have an optional feature to have Removable Motors! This can significantly lighten the load for lifting the device into a vehicle.

Need to look up a HCPC code?  Check out this website! (DMEPC)Make sure you are billing the correct HCPC
01/09/2020

Need to look up a HCPC code? Check out this website! (DMEPC)
Make sure you are billing the correct HCPC

Noridian, LLC (Noridian) serves as the Pricing, Data Analysis and Coding (PDAC) Contractor, performing the following activities that Palmetto GBA's Statistical Analysis DME Regional Carrier (SADMERC) performed prior to August 2008

13/08/2020

Get ready! Medicare Audits are coming, make sure you have READY the following:
The ADR letter will contain the following information:

Preliminary dispensing order (if items were dispensed prior to obtaining a detailed written order);
A valid order;
The patient’s medical records that may support the medical necessity for the items provided and the frequency of testing ordered;
Documentation from the physician’s records OR the beneficiary’s records that support/verifies the frequency with the beneficiary is testing his/her blood glucose level;
Itemized proof of delivery documentation
Proof of beneficiary’s or caregiver’s request for refill
Any other pertinent documentation
Advance Beneficiary Notice (ABN) on file should

Makeumobile.com
21/07/2020

Makeumobile.com

For Your Health & Mobility

25/06/2020

Claim(s) must be filed with the appropriate AB MAC or DME MAC ... see map

https://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Downloads/DME-Jurisdiction-Map-Jun-2019.pdf

The beneficiary's state of residence on file with the Social Security Administration determines the DME MAC jurisdiction that should be billed. A claim should be sent to the DME MAC for the state in which the beneficiary permanently resides.

I hope this helps! I learn so much from CMS / Noridian / CGS websites.

So many changes.. I started in 1995 and believe me you need to stay informed daily.

22/06/2020

PPE - Mask & Sanitizer In Stock While Supplies Last

How would you bill the 1st month rental to  Medicare for POS 12. I know ... do you?
27/05/2020

How would you bill the 1st month rental to Medicare for POS 12.

I know ... do you?

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