Wiki Physician supplying DME

[Melissa Harris CPC]

Hello - Happy New Year!

My employer wants to purchase back braces and bill insurance for them. Does anyone have any information on this endeavor? I have the codes but want to make sure we can do this properly.

Thank you in advance.

Melissa Harris, CPC

 

[amyjph]

It's not so easy as just, "buy some DME items, dispense to the patient, bill insurance."
Some places to start with info (some articles may be an older date, always check the date on it): https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c20.pdf

https://www.ngsmedicare.com/web/ngs/durable-medical-equipment-prosthetics-orthotics-and-supplies?selectedArticleId=1877263&lob=96664&state=97178&rgion=93623

(Noridian not your MAC but this has good links and info): https://med.noridianmedicare.com/web/jeb/topics/dme

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-DME-Orthotics-Prosthetics-Multiple-Frequency-Policy.pdf

https://www.beckersasc.com/new-asc-development/how-to-build-an-effective-in-house-dme-program-insights-from-two-ortho-practices.html

https://www.aaos.org/aaosnow/2023/oct/managing/managing07/

https://karenzupko.com/dispensing-dme-orthopaedics-medicare/

 

[Melissa Harris CPC]

Thank you so much!! I appreciate it!