How to Become a DME Supplier for Medicare and Supply DMEPOS
A Durable Medical Equipment (DME) Supplier is a business that sells or rents DME or HME (home medical equipment). That type of equipment helps to manage chronic medical conditions and …
A Big Win for the Industry – Medicare Sequester Cuts Paused!
The House of Representatives extended the pause on the 2% Medicare sequester cuts through the remainder of this year, 2021. This is a major win for the DME and all …
What is a UPIC Audit and How to Prepare for One?
Durable Medical Equipment (DME) suppliers should be prepared and ready for a Unified Program Integrity Contractors (UPIC) audit. Medicare regulation is an extensive program, and being prepared before an audit …
What to Know About the Medicare Improper DMEPOS Payments
During a recent Office of Inspector General (OIG) report, it was discovered that Medicare improperly paid suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items. The OIG has …
Does Medicare Cover DME in a Long Term Care Facility?
While there are multiple parts to Medicare insurance coverage, this article will focus on Medicare Part B coverage. Part B determines if your insurance covers durable medical equipment (DME). Regarding …
5 Ways to Prepare for a RAC Audit
All Durable Medical Equipment (DME) suppliers should be prepared and ready for a Recovery Audit Contractor (RAC) Audit. The RAC is part of the Medicare Fee for Service (FFS) Recovery …
CMS Adds Temporary Claims Hold Pending Congressional Action!
The Centers for Medicare and Medicaid Services (CMS) have instructed the Medicare Administrative Contractors (MACs) to hold all claims with service dates on or after April 1, 2021. The claims …
Does Medicare Pay for DME in a Nursing Home?
It’s essential to understand there are multiple Medicare parts to your insurance coverage. Each part covers specific items and medical services. This article will focus on Medicare Part A and …