List of Medical Modifiers for Durable Medical Equipment DME Billing Services | Modifiers
Jul28

List of Medical Modifiers for Durable Medical Equipment DME Billing Services | Modifiers

searched terms: List of Medical Modifiers for Durable Medical Equipment DME Billing Services Keypoints: Make sure you have identified medical necessity for a DME Durable Equipment Item Make sure you have documented the necessity Make sure you have a delivery receipt that the patient had received the DME Item Make sure you are reporting the right DME Item Make sure you are reporting the right place of service Make sure you have checked with your payer how they want you to report the DME Item on your Claims SEE Example of HCFA 1500 Claim Form on How to Use DME Durable Medical Equipment Modifiers CLICK HERE!   List of Medical Modifiers for Durable Medical Equipment DME Billing Services RR — RENTAL. (USE THIS ‘R’ MODIFIER WHEN DME IS TO BE RENTED) This modifier is used for DME items that are rented, and will be used for equipment in the following categories: Inexpensive or other Routinely purchased DME (IRP), Frequent or Substantial Servicing (FS), Certain customized items, Other Prosthetic and Orthotic Devices (P & O), Capped Rental Items (CR), Oxygen and Oxygen Equipment. KH — DMEPOS ITEM, INITIAL CLAIM, PURCHASE OR FIRST MONTH RENTAL This modifier is used for a capped rental DME item. When using the KH modifier, you are indicating you are billing for the first month of the capped rental period. KJ — DMEPOS ITEM, PARENTERAL ENTERAL NUTRITION (PEN) PUMP OR CAPPED RENTAL, Month four to fifteen This modifier is used for capped rental DME items. When using the KJ modifier, you are indicating you are billing for months four through thirteen/fifteen of the capped rental period. KI — DMEPOS ITEM, SECOND OR THIRD MONTH RENTAL This modifier is used for capped rental DME items. When using the KI modifier, you are indicating you are billing for the second and/or third month of the capped rental period. searched terms: List of Medical Modifiers for Durable Medical Equipment DME Billing Services   A8 — DRESSING FOR EIGHT WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes billed without modifiers A1-A9 (see Coding Guidelines) are noncovered under the Surgical Dressings benefit. Certain dressings may be covered under other benefits. A5 — DRESSING FOR FIVE WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes billed without modifiers A1-A9 (see Coding Guidelines) are noncovered under the Surgical Dressings benefit. Certain dressings may be covered under other benefits. A4 — DRESSING FOR FOUR WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes billed without modifiers A1-A9 (see Coding Guidelines) are noncovered under the Surgical Dressings benefit. Certain dressings may be covered under other benefits. A9 — DRESSING FOR NINE OR MORE WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes...

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DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier
Jul27

DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier

These modifiers are used for DME Durable Medical Equipment Services Billing: RR – DME Item – RENTAL  Secondary Modifiers: KH, KI, KJ KH — DME Item, FIRST MONTH RENTAL. KI — DME Item, SECOND OR THIRD MONTH RENTAL KJ — DME Item, RENTAL, MONTHS FOUR TO FIFTEEN Always check with your payers, every payer has a different way of billing the DME using these modifiers. Kindly see below DME billing HCFA 1500 images:   Range of Date of Service (From-To): DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier   One (Same) Date of Service (From-To): DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier     RELATED DME DURABLE MEDICAL EQUIPMENT BILLING (CLICK THE LINKS BELOW)   List of Medical Modifiers for Durable Medical Equipment DME Billing Services | Modifiers DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME Medical Billing DME | DMEPOS EXEMPTIONS for Accreditation and Surety | For Physicians, Non-Physicians, Physical Therapist and Occupational Therapists DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier How to Bill for DME L3908 for Medicare of NC   Searched Keywords: DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier modifier kh dme modifiers list dme modifier kx dme modifiers 2016 medicare dme modifiers 2016 dme modifiers 2017 modifier bp modifier ms   Need Immediate Help?  CHAT WITH US/TEXT/CALL  (888) 822-0862  We Offer CONSULTING SERVICES and REVENUE CYCLE MANAGEMENT We always OVER-DELIVER! 100% Satisfaction Guaranteed. Or we will return your money!   Medical Practice Consulting, Business Development and Revenue Cycle Management EXPERTISE are in: 1. Pain Management Medical Billing Consultant 2. Orthopedic Medical Billing Consultant 3. General Surgery Medical Billing 4. Obesity Medicine Billing 5. Documentation Review and Claims Audit * Accurate Coding * Evaluation and Management Coding * Medical Necessity * Compliance Plans * CPT Coding Level * CCI Edits Conflicts * Payor Guidelines and Policies (Clinical, Utilization and Reimbursement) * ICD-9, ICD-10, HCPCS Codes * Medicare and Medicaid Guidelines and Policies 6. Anesthesiology Billing 7. Neurology Billing 8. Physical Therapy Billing 9. Physician Insurance Credentialing 10. DME Durable Equipment Billing 11. Workers Comp Billing 12. MVA Claims Billing 13. Chiropractor Practice Medical Billing Medical Billing, Coding, Reimbursement and E/M Questions? We can help you navigate your practice on how to INCREASE REVENUE by looking at additional Services that you can possibly do in your Practice based on your Specialty. Other Services We Offer: Setting up a Medical Practice Revenue Cycle/Reimbursement Management Insurance Credentialing and Contract NegotiationsMedicare Enrollment and Credentialing Chart Auditing Staff Training Compliance Program TESTIMONIALS and...

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DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME
Mar06

DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME

DME Modifiers use for DME Durable Equipment Billing MODIFIER BP – The beneficiary has been informed of the purchase and rental options and has elected to purchase the item MODIFIER BU The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision MODIFIER KH – DMEPOS item, initial claim, purchase or first month rental MODIFIER KI – DMEPOS item, 2nd or 3rd month rental MODIFIER KX – Requirements specified in the medical policy have been met MODIFIER LL – Lease/rental (use the LL modifier when DME equipment rental is to be applied against the purchase price) MODIFIER NR – New when rented (use the NR modifier when DME which was new at the time of rental is subsequently purchased) MODIFIER NU – New equipment MODIFIER RA – Replacement of a DME, orthotic or prosthetic item MODIFIER RB – Replacement of a part of a DME, orthotic or prosthetic item furnished as part of a repair MODIFIER RR – Rental (use the RR modifier when DME is to be rented) MODIFIER KH – DMEPOS item, initial claim, purchase or first month rental MODIFIER KI – DMEPOS item, 2nd or 3rd month rental KR – Rental item, billing for partial month KX – Requirements specified in the medical policy have been met LL – Lease/rental (use the LL modifier when DME equipment rental is to be applied against the purchase price) MS – Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty NR New when rented (use the NR modifier when DME which was new at the time of rental is subsequently purchased) NU – New equipment QJ – Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 CFR 411.4(B) MODIFIER RA – Replacement of a DME, orthotic or prosthetic item RB – Replacement of a part of a DME, orthotic or prosthetic item furnished as part of a repair RR – Rental (use the RR modifier when DME is to be rented) UE – Used durable medical equipment Searched Keywords: how to bill l3908, how to bill dme modifier, modifier dme, dme biller, dme billing, dme pos, l3908 modifier, l3908 medicare coverage, l3908 wrist brace, l3908 medicare reimbursement, l3908 cost, l3908 fee schedule, l3908 lcd, l3908 reimbursement, durable medical equipment billing codes, dme billing training, dme billing companies, free dme billing training, durable medical equipment billing guide, dme billing jobs, what is durable medical equipment, durable medical equipment companies...

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Medical Billing DME | DMEPOS EXEMPTIONS for Accreditation and Surety | For Physicians, Non-Physicians, Physical Therapist and Occupational Therapists
Aug20

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. 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   Need Immediate Help?  CHAT WITH US/TEXT/CALL  (888) 822-0862 Email: pinky.maniri@gmail.com We Offer CONSULTING SERVICES  We always OVER-DELIVER! 100% Satisfaction Guaranteed. Or we will return your money! We offer hourly coding consulting time on certain specialty only: Pain Management General Surgery Anesthesiology Physical Medicine and Rehabilitation Dermatology Obesity Medicine Sports Medicine Neurology Spine and Orthopedic Surgery Physical...

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