tci Medicare Compliance & Reimbursement - 2003 Issue 22

DME: DIALYSIS SUPPLIERS SHOULD BRACE FOR CMS-382 SCRUTINY

Suppliers of home dialysis equipment should do their best to make sure their Medicare clients' method selections have been recorded on the CMS-382 form. According to the HHS Office of Inspector General, Medicare paid more than $9.5 million in 2000 for end-stage renal disease claims without verifying beneficiaries' method selection. Under the ESRD regime, beneficiaries who choose home dialysis must select either Method I (a dialysis facility provides both services and supplies) or Method II (a dialysis facility provides services, while a durable medical equipment supplier furnishes supplies). The selection is transmitted to Medicare claims processors via the...

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