tci Medicare Compliance & Reimbursement - 2003 Issue 30

Home Health: ABNs Vital To DME Upgrade Payments

Medicare now gives beneficiaries the option of paying for the difference between a Medicare-covered piece of DME and one with extra features. But suppliers and beneficiaries alike often are fuzzy on the new concept. "It's very confusing," says Sarah Lott with Texas Star Medical Billing in Vidor, TX. And the Centers for Medicare & Medicaid Services hasn't been very forthcoming with clear directions, adds Nicole Thiroux with DMExpress Billing Service in Northridge, CA. Even when suppliers understand the procedures, they often don't want the paperwork hassle that accompanies an upgrade, Thiroux says. "They are set in their ways...

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