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Posting Date: 11/25/2024
Obtaining Beneficiary Eligibility Information Through NGSConnex
Obtaining Beneficiary Eligibility Information Through NGSConnex As a reminder, our Customer Service Representatives aren’t permitted to share eligibility information because it’s available through NGSConnex. If you need help, we [...]
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Posting Date: 05/12/2020
Practitioners: Are You Ordering Nebulizers and Inhalation Medication for Your Patient?
Practitioners: Are You Ordering Nebulizers and Inhalation Medication for Your Patient? Medicare will consider coverage of a nebulizer, compressor and related accessories when the patient’s medical record verifies that the patient has a [...]
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Posting Date: 08/10/2020
Physicians: Are You Ordering Glucose Monitors and Supplies for Your Patients?
Physicians: Are You Ordering Glucose Monitors and Supplies for Your Patients? The CERT program has noted claim errors for glucose monitors. The following information is provided to assist you in reducing these types of errors. Medicare will [...]
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Posting Date: 08/23/2022
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
Durable Medical Equipment, Prosthetics, Orthotics and Supplies To help providers and suppliers gain a better understanding of the roles of billing, coverage, documentation requirements and medical necessity when providing DMEPOS to Medicare [...]
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Posting Date: 08/10/2020
Clinicians: Are You Ordering PAP Devices and Related Accessories for Your Patients?
Clinicians: Are You Ordering PAP Devices and Related Accessories for Your Patients? Medicare can make payment for PAP devices and related accessories when the patient’s medical record shows the patient has OSA and meets medical documentation, [...]
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Posting Date: 09/10/2019
Practitioners: Are You Ordering Spinal Orthoses for Your Patient?
Practitioners: Are You Ordering Spinal Orthoses for Your Patients? The DME MACs are providing helpful guidance to assist the supplier in providing a spinal orthosis to your patient. Medicare must be able to verify there is supporting medical [...]
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Posting Date: 04/15/2021
Clinicians: Are You Ordering Oxygen for Your Patient?
Clinicians: Are You Ordering Oxygen for Your Patient? Home use of oxygen and oxygen equipment is eligible for Medicare reimbursement only when a beneficiary meets all of the requirements set out in the CMS IOM, Publication 100-03, Medicare [...]
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Posting Date: 06/03/2021
Clinicians: Are You Ordering Diabetic Shoes for Your Patients?
Clinicians: Are You Ordering Diabetic Shoes for Your Patients? The following section outlines roles of various practitioners that are involved in the decision-making and provision process for diabetic shoes: Certifying physician: The [...]
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Posting Date: 02/08/2019
Physicians Ordering Oxygen and Oxygen Equipment - Quick Tips
Physicians Ordering Oxygen and Oxygen Equipment - Quick Tips The following is a quick reference guide for physicians and nonphysician practitioners concerning Medicare’s coverage of oxygen and oxygen equipment. For Medicare to consider [...]
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Posting Date: 03/09/2020
Physicians: Are You Ordering DMEPOS for Your Patients?
Physicians: Are You Ordering DMEPOS for Your Patients? Physicians provide the foundation for correctly billing services and/or supplies to Medicare. DMEPOS suppliers rely on prescribing providers to substantiate the need for services and/or [...]
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