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.
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Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the Sr. Director of Coding Education for Healthcare Information Services, a revenue cycle management service. She has 30 years of experience in all areas of the physician practice specializing in orthopedics. With the AAPC, Lynn is a national conference, workshop, and audio conference presenter and a former member of the National Advisory Board.... More Info