Your Guide to Medicare's Durable Medical Equipment, Prosthetics, Orthotics, & Supplies DMEPOS Competitive Bidding Progra

1. YOUR YOUR GUIDE TO MEDICARE'S DURABLE GUIDE TO MEDICARE'S DURABLE MEDICAL EQUIPMENT, PROSTHETICS, MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, & SUPPLIES DMEPOS ORTHOTICS, & SUPPLIES DMEPOS COMPETITIVE BIDDING PROGRAM COMPETITIVE BIDDING PROGRAM HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

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3. 1. LACK OF UNDERSTANDING OF THE MANAGED CARE CONTRACT The Competitive Bidding Program by Medicare was launched to improve the overall value of Medicare and the money of the taxpayers used in the facilities. The program sets prices through competition, ensuring that the patients' items are of quality and licensed. It also allows only accredited suppliers to bid who must meet the standards set by Medicare. The overall process helps in reducing fraud and abuse of the Medicare system. What Is DMEPOS Competitive Bidding Program What Is DMEPOS Competitive Bidding Program? ? Congress mandated the DMEPOS Competitive Bidding Program in 2003 through Medicare Prescription Drug, Improvement, and Modernization Act Medicare Prescription Drug, Improvement, and Modernization Act (MMA) (MMA). The Act required Medicare to replace its then methodology of fee schedule payment for selected Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items with a competitive bidding process. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

4. WHAT WHAT HAPPENS IF A PATIENT REQUIRES AN ITEM HAPPENS IF A PATIENT REQUIRES AN ITEM OF A OF A SPECIFIC BRAND? If a patient needs DMEPOS items not mentioned in the competitive bidding program, then the doctor must prescribe the brand in writing. It is only accepted when it can be established that there can be an adverse medical outcome without using the specific brand. In the document, the doctor must record why the brand is needed and how it can avoid a negative outcome. The contractor in such a situation is then required to: Give the patient the specific brand of an item. If the supplier doesn't have or cannot get it for the patient, then they must help in finding another contractor who can provide it. Work with the doctor to find an alternative and then get the prescription revised. Know more.. BRAND? HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

5. NON-HIPAA CARRIERS 4 4. HOW TO GET THE ITEM REPAIRED OR REPLACED? HOW TO GET THE ITEM REPAIRED OR REPLACED? When a patient owns a competitively bid DMEPOS item and needs to repair or replace the parts, they can contact any Medicare-enrolled supplier. Even a non-contract supplier can help repair and replace the parts. But the supplier must be Medicare enrolled so the patient can get the reimbursement for the repaired or replaced parts from Medicare. However, Medicare will not pay for any replacement or repair covered by the warranty of the item's supplier. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

6. CAN THE DMEPOS ITEM BE RECEIVED FROM CAN THE DMEPOS ITEM BE RECEIVED FROM DOCTOR OR HOSPITAL? DOCTOR OR HOSPITAL? Typically you should get the item from a contract supplier registered with Medicare. However, there are exceptions like: The doctor or the treatment facility gives the equipment as part of the clinical service during the treatment despite not being a contract supplier. The doctor or the hospital gives the item when the patient is admitted or on the day of release from the hospital. It can be done even when the provider is not a contract supplier. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

7. HOW TO ENSURE YOUR FACILITY IS BENEFITTING FROM THE DMEPOS COMPETITIVE BIDDING? If you are into Durable Equipment facility service and Medicare contracted supplier, then all these new rules can be confusing. In such a scenario, the best way to navigate the system is to get help from an outsourcing medical and billing partner such as 24/7 Medical Billing Services to ensure your revenue management is in place. It even won’t be the last thing to run into losses due to claim rejections as a Durable Equipment provider. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

8. ABOUT US We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

9. CONTACT US Media Contact: 24/7 Medical Billing Services Georgia 3001 Greenfield Drive, Marietta GA Ohio 28405 Osborn Road, Cleveland, OH 4414030068 Texas 2028 E Ben White Blvd, #240-1030 Austin TX, 78741 Delaware 16192 Coastal Highway, Lewes, Delaware 19958, United States Phone no / Fax : +1 888-502-0537 Email us: info@247medicalbillingservices.com HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/