I work for a small durable medical equipment supply company in western NY state. The business model is "stock and bill" - we provide DME (braces, crutches, slings, et cetera) to orthopedic practices, emergency departments and the like. They provide the patient info and we bill the insurances. We are NOT considered primary for Medicaid but can bill them when they are the secondary carrier.
To make a long story short, I need to know when we can legally bill patients for DME not covered by Medicaid - if ever. Short of having a signed agreement with the patient prior to dispensing the DME (which we can't control considering our business model) I don't believe we can bill Medicaid patients - regardless of whether they have that coverage as primary, secondary or other.
Any guidance would be greatly appreciated!
B
To make a long story short, I need to know when we can legally bill patients for DME not covered by Medicaid - if ever. Short of having a signed agreement with the patient prior to dispensing the DME (which we can't control considering our business model) I don't believe we can bill Medicaid patients - regardless of whether they have that coverage as primary, secondary or other.
Any guidance would be greatly appreciated!
B