Group items tagged

The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being used bilaterally. Until now, suppliers billing for bilateral DME devices including therapeutic shoes for patients with diabetes, diabetic inserts, custom AFOs or custom foot orthoses, have been able to submit electronic claims by indicating the total quantity and using the RTLT modifier on a single line OR by using RT on one line and LT on another, noting half the quantity on each.

How to order DMEPOS items correctly? Suppliers may dispense most items of DMEPOS based on a verbal order or a preliminary written order from the treating physician/practitioner. A detailed written order may be a photocopy, facsimile image, electronic, or pen-and-ink original document. Our medical billing team is available to answer any questions. Please call 888-357-3226. or Write to us at info@medicalbillersandcoders.com Learn how we can reduce costs and increase your collections. Click Here: https://bit.ly/3ceNrdp #DMEPOS #medicalbillersandcoders #healthcarerevenuecycle #reimbursementIssues #patientengagement #medicalbilling

Prior authorization helps Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers ensure that applicable Medicare coverage, payment, and coding rules are met before DMEPOS items are delivered.