Medical Billing DME | DMEPOS EXEMPTIONS for Accreditation and Surety | For Physicians, Non-Physicians, Physical Therapist and Occupational Therapists

Medical Billing DME

I publish this article on my blog because many had been asking me for an answer – “Who are exempted from the DMEPOS from accreditation and/or surety bond?” for medical billing DME

This article will focus only on Physicians/Non-Physician Practitioners and PT/OT Services Providers:

According to the current guideline, the following are exempted:

1. Physicians
2. Physician Assistants
3. CRNA
4. Registered Nutritionists and Dieticians
5. Certified Midwife
6. Clinicial Social Worker
7. Clinical Psychologist

**** But you need to be guided that items are provided and rendered to your own patients as a part of your own services!

The Occupational and Physical Therapists are also Exempted from the accreditation process and surety bond only if ….

1. The PT/OT solely own and operates the business office;
2. You provide and rendered the items/services only to your own patients as
part of professional services rendered;
3. You can only bill for orthotics, prosthetics and supplies.

Additionally, I know that CHIROPRACTORS are NOT exempted from accreditation.

Medical Billing DME

Kindly see chart below which I have uploaded from =>> http://www.palmettogba.com/ncs and is last updated August 2009.
As far as I know, there are no new changes on this guideline.

Should you need help on how to complete a CMS-855s DMEPOS Form for
your practice, contact me and I will help you.

Read more about the Surety Bond Exemptions here – http://edocket.access.gpo.gov/2009/pdf/E8-30802.pdf
Read more about the Accreditation Requirements here – http://www.cms.hhs.gov/MedicareProviderSupEnroll/Do
wnloads/DMEPOSAccreditationMIPPA-FactSheet.pdf

CMS Form for DMEPOS CMS-855S – Download here! CMS 855s Form for DMEPOS Supplier Application for Medicare

 

Useful References for DME Billing

DME POS PLACE OF SERVICE CODES – https://med.noridianmedicare.com/web/jadme/claims-appeals/claim-submission/pos

DMEPOS FEE SCHEDULE – https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSFeeSched/DMEPOS-Fee-Schedule.html

Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier Standards – (please copy and paste the link) http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~National%20Supplier%20Clearinghouse~Supplier%20Enrollment~Standards%20Compliance~DMEPOS%20Supplier%20Standards~7GLS7Z1267

Medicare Enrollment Form for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers – (please copy and paste the link) – https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855s.pdf

Medicare Durable Equipment Claims Processing Manual http://www.mspinkymaniri.com/wp-content/uploads/2016/03/Chapter-20-Durable-Medical-Equipment-DMEPOS-Medicare-Claims-Processing-Manual-Rev-3196-02-13-15.pdf

If you would like to know on how you can increase revenue in your practice by becoming a DME Medicare Supplier based on the necessity shown above and as long as you provide them as a part of your patients services, CALL ME and I will show you how.

Interesting read, CLICK HERE —

Why Physicians Medical Practice Cannot Make More Money

 

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Author: Pinky Maniri

Ms. Pinky, as she is fondly called - is a Reputable Professional Consultant and Expert in Practice Administration, Medical Billing, Coding, Health Information Technology, Insurance Credentialing and Compliance for Physician Offices. Well-educated with a Degree in Computer Systems Engineering and a background in Clinical Nursing and Small Business Management. Her professional mission is to make sure her clients/physicians maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies. Read More About Ms. Pinky here and See what Other's say about her Expertise Testimonials

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