Verifying a physician can order DME

Verifying a physician can order DME

Kevin Matthews

5/22/2014

I remember seeing a post about a physician referred
Hello all,

  I remember seeing a post about a physician referred a patient but had  opted out of ordering privileges for DME and the claim was denied.  I was reviewing the MLN Newsletter and found this. I found this section titled  Am I Eligible to Order and Refer Medicare Items and Services? directed at physicians.  I tried to copy and paste the procedure for verifying if the physicians were eligible but it didn't work.  I have a link to the page-  <URL Redacted>

I have also forwarded the email (below) if the link doesn't work.  It looks like you can verify if the doctor can order DME with their NPI number.

 
Kevin C. Matthews, CO/LO
Advanced Orthopedic Designs
12315 Judson Rd. #206
San Antonio, Texas 78233
210-657-8100
210-657-8105 fax
www.AdvancedOrthopedicDesigns.com
<Email Address Redacted>


----- Forwarded Message -----
>From: <Email Address Redacted> < <Email Address Redacted> >
>To: <Email Address Redacted>
>Sent: Thursday, May 22, 2014 4:08 PM
>Subject: DME MAC Jurisdiction C News
>
>
>
>DME MAC Jurisdiction C News
>Billing Reminders for HCPCS code K0739 — In April 2009 the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) published an article entitled Repair Labor Billing and Payment Policy that provided information on how to bill HCPCS code K0739 (REPAIR OR NONROUTINE SERVICE FOR DURABLE MEDICAL EQUIPMENT OTHER THAN OXYGEN REQUIRING THE SKILL OF A TECHNICIAN, LABOR COMPONENT, PER 15 MINUTES). This information was effective for dates of service on or after April 1, 2009. Read more...
> <URL Redacted>
>________________________________
>
>MLN Connects™ Provider e-News Edition for May 22, 2014
> <URL Redacted>
>________________________________
>
>Reminders for Miscellaneous Healthcare Common Procedure Coding System (HCPCS) Codes — Suppliers billing miscellaneous-coded products are reminded that items that have a specific HCPCS code must not be billed with miscellaneous HCPCS codes.  Inappropriate billing of miscellaneous HCPCS codes can result in a claim return/reject or denial of the HCPCS code for invalid coding. Read more...
> http://cgsmedicare.com/jc/pubs/news/2014/0514/cope25767.html
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> http://www.cgsmedicare.com/jc/education/workshops_espanol.html
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