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Billing Procedures for UpgradesOpen in New Window
Medicare payment for upgrades will be based upon the payment amount applicable to the item in the area in which the beneficiary resides...
04/09/2013
PDF Enteral Nutrition (PDF, PDF - 114 KB)
With the exception of SNFs and NFs that become specialty suppliers, suppliers that are contract suppliers for the enteral nutrition product category must furnish services to beneficiaries throughout the competitive bidding area (CBA), regardless of whether a beneficiary lives in a private residence or institutional setting.
08/09/2012
PDF Grandfathering for Oxygen and Oxygen Equipment (PDF, PDF - 106 KB)
Suppliers that are not awarded a competitive bidding contract for furnishing oxygen and oxygen equipment in a CBA can decide to be grandfathered suppliers for beneficiaries to whom they are furnishing these items at the time the competitive bidding program is implemented.
08/16/2012
PDF Grandfathering for Rented DME (PDF, PDF - 97 KB)
Suppliers that are not awarded a competitive bidding contract for furnishing rented DME in a CBA can decide to be grandfathered suppliers for beneficiaries to whom they are furnishing these items at the time the competitive bidding program is implemented.
08/16/2012
PDF Prescription for Specific Brand or Mode of Delivery to Avoid an Adverse Medical Outcome (PDF, PDF - 112 KB)
The Medicare DMEPOS Competitive Bidding Program includes a special beneficiary safeguard to ensure that beneficiaries have access to specific brands or modes of delivery of competitively bid items when needed to avoid an adverse medical outcome.
08/16/2012

last updated on 10/31/2013

 



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