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Additional States Requiring Payment Edits for DMEPOS Suppliers of Prosthetics and Certain Orthotics

Tuesday, August 13, 2013   (0 Comments)
Posted by: Brian Lagana
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Additional States Requiring Payment Edits for DMEPOS Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Update to CR 3959

This article is based on Change Request (CR) 8390 which instructs DME MACs to revise programming edits so that Arkansas, Georgia, Kentucky, Mississippi, and Tennessee are added to the logic, in accordance with CR3959 (Transmittal 656; August 19, 2005). CR3959 instructed DME MACs to implement claims processing edits to ensure compliance with CMS regulations which require Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers wishing to bill Medicare to operate their business and furnish Medicare-covered items in compliance with all applicable Federal and State licensure and regulatory requirements.   Click here to read the complete story.


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