Skip to main content

Durable medical equipment (DME)


The term DME is used for any Medical equipment used in the home to aid in a better quality of living, example for DME are walkers, wheelchairs, power scooters, hospital beds, home oxygen equipment, diabetes self-testing equipment and supplies and certain nebulizers and their medications non-disposable.  
Few insurances will cover DME expense too, Medical will cover DME procedure with the following instruction.

Medicare will cover certain types of medical equipment if it is: 

1.      Able to withstand repeated use
2.      Primarily and customarily used to serve a medical purpose
3.      Generally not useful to a person in the absence of an illness or injury
4.      Appropriate for use in the home and
5.      Provided by specific suppliers that are approved by Medicare. 

DMEPOS

Durable Medical Equipment is referred to as DMEPOS because Medicare also covers prosthetics, orthotics and certain supplies (POS). Prosthetics are devices that can replace a missing body part, such as a hand or leg. Orthotics are equipment like braces that help to support or correct the malfunction of a limb.
In most cases, Medicare doesn’t cover medical supplies that generally are used and then thrown away.

Comments

  1. UnknownMarch 25, 2013 at 6:39 AM

    Orthotics are equipment like braces Autoclave for sale that help to support or correct the malfunction of a limb.

    ReplyDelete
  2. UnknownMay 24, 2014 at 2:19 PM

    Hey,When you or a relative needs medical equipment in your home, you need the best equipment and forethought conceivable so you can keep up your wellbeing and securely come back to your every day exercises. With Johns Hopkins Pharmaquip, you accept state-of-the-workmanship social insurance equipment, as well as the mastery of our talented, empathetic clinicians. You'll profit from the experience and assets of the country's heading showing and examination wellbeing foundation - preference you won't find anyplace else.Thanks a lot!!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~>>
    design of medical devices

    ReplyDelete

Post a Comment

Popular posts from this blog

What is QMB / MQMB stands for?

In Medical billing or Healthcare industry The term QMB stands for Qualified Medicare Beneficiary & MQMB stands for Medicare Qualified Medicare Beneficiary. The term "QMB" or "MQMB" on the form indicates the client is a Qualified Medicare  Beneficiary (QMB) or a Medicaid Qualified Medicare Beneficiary (MQMB). The Medicare Catastrophic Coverage Act of 1988 requires Medicare premiums, deductibles, and coinsurance payments to be paid for individuals who meet the following criteria:  Important: Clients limited to QMB are not eligible for THSteps or THSteps-CCP Medicaid benefits.  Note: Clients eligible for STAR+PLUS who have Medicare and Medicaid are MQMBs. Medicaid reimburses for the coinsurance and deductibles as well as Medicaid-only services for the MQMB client. QMBs do not receive Medicaid benefits other than Medicare deductible and coinsurance liabilities. MQMBs do qualify for Medicaid benefits not covered by Medicare in addition ...
7 comments
Read more

Key Performance Indicators (KPIs) for Successful Revenue Cycle Management (RCM) in Healthcare Organizations

 Revenue Cycle Management (RCM) is an essential process for healthcare organizations to ensure that they receive timely and accurate payments for the services they provide. Here are some of the key performance indicators (KPIs) metrics that healthcare organizations should track as part of their RCM process: Gross Collection Rate (GCR): This metric measures the percentage of charges that a healthcare organization collects from patients and insurance companies. It is calculated by dividing the total payments received by the total charges billed. Net Collection Rate (NCR): The NCR measures the percentage of expected payments received by the healthcare organization after accounting for contractual adjustments, bad debts, and other adjustments. It is calculated by dividing the total payments received by the total expected payments. Days in Accounts Receivable (DAR): This metric measures the average number of days it takes fo...
Post a Comment
Read more

What is W-9 form? Why it is required for Medical Billing.

W-9 Form W-9 is Internal Revenue Services (IRS) request for Tax Payers identification number, mainly its used for third parties to collect ID information like Name, Address to help file information returns with IRS. Also its is used to help payee avoid backup withholding. It is required for your name, Address and SSN number or employer identification number. When your giving out W-9 form be caution, because W-9 form contains sensitive information’s. Why Insurance Company ask W-9 Form from hospital or clinic etc., Because medical billing is cycle indirectly or directly insurance company’s are working for hospital or clinic etc., for them we need to report SSN number / business tax id. As far as       W-9 is form is concern it is straight forward with the all the above mentioned information, also they need to pay to address, or to update their records, or to check / update records. Note: W-4 Form is used by employer ...
9 comments
Read more