Durable medical equipment (DME) billing continues to be scrutinized by Medicare and other commercial carriers. The Centers for Medicare and Medicaid Services (CMS) have extensive and detailed documentation guidelines for DME in general, as well as other guidelines for documentation that can be found in Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs). Without knowing and understanding what the requirements are, you are putting your office at risk of failing an audit, and having to refund insurance carriers or CMS. These will be losses in revenue because your office has paid for these items, and you cannot hold the patient responsible. DME items are not professional services, so you are purchasing DME in hopes that you will receive a profit in return. If you are audited and do not have the proper documentation, you will have to refund, and possibly be penalized for not following the published requirements.
Join this session with coding expert Lynn M. Anderanin, CPC, CPMA, CPC-I, CPPM, COSC, where you will learn about the complicated documentation requirements for DME from a general rules perspective as well as what is needed for specific kinds of DME. Lynn will direct you in using modifiers needed for reimbursement. You will feel confident that you have documented what is required to receive payment on a part of your office that can either be profitable or a big loss.
This session will discuss:
Who Should Attend
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics. Lynn is currently a workshop and audio presenter. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board,...
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