DME billing definition

Medicare-Approved Amount—In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid.It includes what Medicare pays and any deductible, coinsurance,or copayment that you pay. It may be less than the amount a doctor or supplier charges for the item.

Medigap Policy—Medicare Supplement Insurance sold by private insurance companies to fill “gaps” in Original Medicare coverage. Except in Massachusetts, Minnesota, and Wisconsin, all Medigap policies must be one of 12 standardized Medigap policies labeled Medigap Plan A through Plan L. Medigap policies only work with Original Medicare.

Nebulizers—Equipment that delivers medicine in a mist form to your lungs.

Original Medicare—Original Medicare has two parts: Part A(Hospital Insurance) and Part B (Medical Insurance). It is afee-for-service health plan. After you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share (coinsurance and deductibles).

Orthotics—Devices that correct or support the function of body parts. Examples include leg, arm, and neck braces.

Patient Lifts—Equipment designed to move a patient from abed or wheelchair.

Prostheses—Devices that substitute for a missing body part.Examples include artificial legs, arms, and eyes.

Prosthetic Devices—Medical equipment (other than dental)that replaces all or part of an internal body organ.