Durable medical equipment (DME ) medical billing. How to do billing for Medicare and what equipment covered by Medicare. DME Modifiers and CPT codes.
Wednesday, May 27, 2015
Update to Medicare deductible, coinsurance, and premium rates for 2015
Effective date January 1, 2015
Implementation date: January 5, 2015
SummaryThe Centers for Medicare & Medicaid Services (CMS) issued the 2015 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. The 2015 deductible, coinsurance and base premium rates are:
2015 Part A - Hospital insurance
Deductible: $1,260.00
Coinsurance
• • $315 a day for 61st-90th day
• • $630 a day for 91st-150th day (lifetime reserve days)
• • $157.50 a day for 21st-100th day (skilled nursing facility coinsurance)
Base premium (BP): $407 a month
• BP with 10 percent surcharge: $447.70 a month
• BP with 45 percent reduction: $224 a month (for those who have 30-39 quarters of coverage)
• BP with 45 percent reduction and 10 percent surcharge: $246.40 a month
2015 Part B - Supplementary medical insurance (SMI)
Under Part B of the Medicare supplementary medical insurance (SMI) program, enrollees are subject to a monthly premium. Most SMI services are subject to an annual deductible and coinsurance (percent of costs that the enrollee must pay), which are set by statute.
Standard Premium: $104.90 a month
Deductible: $147 a year
Pro Rata Data Amount
• $114.99 1st month
• $32.01 2nd month
Coinsurance: 20 percent
Labels:
DME billing basic,
Medicare
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