Category: DME

Incontinence Supplies: A Comprehensive Guide to Billing Medicaid

Incontinence supplies, including diapers, liners, and underpads, are essential for many individuals who require assistance managing bladder and bowel control issues. Billing these supplies to Medicaid involves understanding the correct procedures, documentation, and coding requirements. This blog post will provide a detailed overview of the billing process, required documentation, and a list of HCPCS codes

July Quarterly Update For The 2024 Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) Fee Schedule From The Centers For Medicare & Medicaid Services (CMS).

Here are the key points from the update: Effective and Implementation Dates: The updates are effective and to be implemented on July 1, 2024, except for HCPCS codes E2298 and K1007, which were effective April 1, 2024. Purpose of the Update: The update aims to implement fee schedule amounts for new and existing codes and

Manual Update Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Benefit Category Determinations

Updates And Effective Dates: Effective January 1, 2024, for 3 orthotic brace determinations. Effective April 1, 2024, for all other items, equipment, and devices. Implementation Date: July 15, 2024. Manual Changes: The document specifies updates to Pub. 100-02, Chapter 15, Section 110.8 regarding DMEPOS Benefit Category Determinations. Funding For MACs: Medicare Administrative Contractors (MACs) are

Clarification of Liability for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims Overlapping Inpatient Hospital Stays

Summary of Changes: Purpose: Update the denial liability for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) claims that overlap inpatient hospital stays from patient responsibility to contractual obligation. Effective Date: July 1, 2024. Implementation Date: July 1, 2024. Manual Instructions: There are no changes in the manual instructions for this CR. Funding: This CR

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