If I have Original Medicare,how do I get the durable medical equipment I need?
If you need durable medical equipment in your home, your doctor or treating practitioner (such as a nurse practitioner, physician assistant,or clinical nurse specialist) must prescribe the type of equipment you need. For some equipment, Medicare also requires your doctor or one of the doctor’s office staff to fill out a special form and send it to Medicare to get approval for the equipment. This is called a Certificate of Medical Necessity. Your supplier will work with your doctor to see that all required information is submitted to Medicare.If your prescription and/or condition changes, your doctor must complete and submit a new, updated certificate. The chart on page 6 shows which items require a Certificate of Medical Necessity.
Medicare only covers durable medical equipment if you get it from a supplier enrolled in the Medicare Program. This means that the supplier has been approved by Medicare and has a Medicare supplier number.
To find a supplier that is enrolled in the Medicare Program, visit www.medicare.gov and select “Find Suppliers of Medical Equipment in Your Area.” You can also call 1-800-MEDICARE
(1-800-633-4227) to get this information. TTY users should call 1-877-486-2048.
A supplier enrolled in the Medicare Program must meet strict standards to qualify for a Medicare supplier number. If your supplier doesn’t have a supplier number, Medicare won’t pay
your claim, even if your supplier is a large chain or department store that sells more than just durable medical equipment.
Durable medical equipment (DME ) medical billing. How to do billing for Medicare and what equipment covered by Medicare. DME Modifiers and CPT codes.
Monday, November 15, 2010
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