Billing For Temporary Replacement For Patient Owned Equipment Being Repaired

Billing for a temporary replacement piece of equipment can create misunderstanding in the DME industry.  Let’s try to clear up some of that misunderstanding by reviewing the HCPCS code K0462 which is a temporary replacement...

RAC Audits Appeal Process

With all the audits we are receiving it has come to my attention that many of our members do not understand fully how they are to appeal a denial received from a RAC or other entity.

If you receive a denial from...

AUDIT ALERT FOR NON PA DEMO STATES

A new contractor for the non-demonstration states named Strategic Health Partners will be targeting mobility claims.  The new specialty contractor is called a Supplemental Medical Review Contractor (SRMC).    They will be auditing for Medical Necessity. 

If you have already been audited...

PECOS DELAY

PECOS edits were set to go live on May 1, 2013, however due to technical issues it has been delayed. This is good news for the suppliers because you now have more time...

Power Mobility Repairs

Many questions have been asked about performing repairs for power mobility devices for patients of a company that is no longer in business.   Here are some concepts to consider regarding those repairs:

        Medicare pays for repairs for patient owned equipment as...

K0009 Manual Wheelchair --New Date

It has been previously communicated that Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) products listed on the PDAC website with HCPCS code K0009 (OTHER MANUAL WHEELCHAIR/BASE) would be end dated effective May 31, 2013. This date has been...

Tell the White House to Fix the Bidding Program!

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