Which DME medical supplies are covered by Medicare Part B?

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(No Transcript)
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Which DME medical supplies are covered by
Medicare Part B?

• Durable Medical Equipment Billing is somewhat
  unique if we compare it with other specialty
  billing. Basically, Durable Medical Equipment
  (DME) gives therapeutic benefits to patients
  experiencing certain healing conditions and/or
  some diseases. So a DME is built to serve the
  medical purpose of patients for regular use at
  home or in a hospital or any other health care
  unit.
• Standard DME products (Part A and B) include
• Wheelchairs
• Orthotics
• Slings
• Supports
• Cranes
• Pressure sleeves
• Nonetheless, it is astonishing that apart from
  the significance, DME billing has lots
  uncertainty around it. It is extremely appalling
  that despite DME suppliers getting adequate
  doctor prescription for provisions, they
  frequently struggle to cover their said
  revenue/income.

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Which DME medical supplies are covered by
Medicare Part B?

• Distinctive DME organizations have diverse DME
  billing styles relying upon the frequency. A few
  organizations charge consistently as and when
  required while a few others charge a couple of
  times as the year progressed. DME billing should
  be to a great extent be careful and precise as a
  single billing and coding error can lead to a
  major loss thousands of dollars for the DME
  merchant.
• The doctor may suggest a DME provider or the
  patient should look for one in his region. But,
  in any case the patient is free of choose the
  durable medical equipment supplier of his choice
  and from where he can get the supplies.
• The DME provider must perform specific activities
  while giving equipment. These Include
• Legitimate delivery and set up of the equipment
• Guaranteeing the home condition is sheltered and
  reasonable for the best possible use of the
  equipment
• Preparing the patient, the family or the guardian
  on the best possible use and the upkeep of the
  hardware.
• Informing the patient or the caregiver usage and
  maintenance tips of the equipment.
• All DME provider likewise requires to consent to
  the Health Insurance Portability and
  Accountability Act (HIPAA) to secure the patient'
  secrecy and records.

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Which DME medical supplies are covered by
Medicare Part B?
Reimbursements in DME Medicare Part B Durable
medical equipment(s) are generally secured by the
healthcare insurance of the patient, for example,
Medicare (Part B). Medicare (Part B) covers 80
of the items and 20 is given to supplemental
insurance. As a rule, the items may cost little
to nothing except if a copayment in required from
the store. Restrictions of Medicare (Part B)
coverage for medical supplies Medicare coverage
for durable medical equipment items are part of
the patients Part B benefits, but provided that
it is medically necessary and prescribed by your
physician for use at home. In order to get those
benefits your equipment or medical supplies must
be prescribed by and purchased from providers who
are a part of the Medicare program and accept the
Medicare regulations. In most scenarios you pay
20 percent of the amount allowed under Medicare
after you have met any applicable Part B
deductible amounts.
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Which DME medical supplies are covered by
Medicare Part B?

• Also, if you live in certain parts of the
  country, your equipment or DME supplies may be
  subject to the competitive bidding program. This
  is a cost-saving initiative that is helping
  Medicare bring health-care costs into an alliance
  with actual prices for the items purchased. If
  the competitive bidding program stands applicable
  to your Medicare coverage, you must use a
  supplier contracted with the Medicare program in
  order to receive your benefits.
• What equipment supplies are included?
• Commode chairs
• Continuous Positive Airway Pressure (CPAP)
  devices and related supplies
• Diabetes testing supplies (mail-order only)
• Enteral nutrient equipment and supplies
• Hospital beds and related accessories

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Which DME medical supplies are covered by
Medicare Part B?

• Nebulizers (standard) and related supplies
• Negative Pressure Wound Therapy (NPWT) pumps and
  related supplies
• Oxygen and related equipment and supplies
• Patient lifts
• Respiratory assist devices (RADs) and related
  supplies
• Scooter and related accessories
• Seat lifts
• Support surfaces (group 1 and group 2)

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Which DME medical supplies are covered by
Medicare Part B?

• Transcutaneous Electrical Nerve Stimulation
  (TENS) devices
• Walkers
• Wheelchairs (standard power or manual) and
  related accessories
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