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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