Medicare Procedures for DMEPOS
Medicare is an
insurance program, offered by the federal social committee and popular
among DME billing companies
and customers as well. It focuses primarily on older and disabled people. Medicare
holds a share of 21% in terms of U.S healthcare expenses and 17.8% of Americans
based out of the U.S have been covered by Medicare. Therefore, most of the DME
billing companies first prefer enrolling in insurance programs offered by
Medicare.
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If you are a new
DMEPOS supplier, you should definitely register your business with the Medicare
enrollment application to become qualified to get paid for insured customers
through Medicare. This blog takes you through the complete Medicare procedures
for DME billing and
how it is effective as well.
The application form
provided by Medicare requires you to fill in all the information about you and
secures only the needed documentation. This cross check’s your eligibility
criteria before you apply for DMEPOS with Medicare and then allows you to
enroll in the program.
How
to enroll in Medicare?
The
Medicare enrollment process is very simple and quick as well.
·
First, the National Supplier
Clearinghouse (NSC) initiates and progresses your enrollment application and
proceeds with the verification of your information.
·
In case NSC asks for more information
in the due course, you should be in a position to provide the same.
·
You should respond to the mail requests
sent by NSC immediately; showing a delay in response can lead to further delay
in your enrollment.
Enrollment process
The following
procedure is for becoming a DMEPOS (Durable
medical equipment, Prosthetic, Orthotics, and Supplies)
supplier.
Step
1: The applicant fills and submits the Medicare
enrollment application form and the respective documents to the NSC.
Step
2: The NSC validates the application and carries
out a site visit to ensure and mark compliance with all DMEPOS supplier
standards.
Step
3: Once the verification is complete, the NSC
informs the applicant through mails about the status of their decision towards
the applicant’s enrollment application.
If you have any
information to be changed in the Medicare enrollment application form, you
should inform the NSC within 30 days of applying. You do not have to grab a new
enrollment form; instead, you can make use of your existing application form
and mention, highlight the changes alone.
Before we get close
to the final step in the Medicare program enrollment procedure, you must know
about the term Participation. Participation is more or less similar to
accepting assignment of claims every time for all services you offer to
beneficiaries of Medicare. It also ensures that you collect payments as
one-time and do not claim other than Medicare deductible or coinsurance of the
beneficiary if any. Though you agree to the point of participation or not,
according to the Social Security Act, Medicare expects you to submit claims for
its beneficiaries without fail.
The participation
benefits you in several ways. As a DMEPOS supplier, you receive the payments
directly from Medicare because they are all assigned. The claim information is
transferred to Mediated insurers i.e. for medical supplemental coverage.
Medicare
enrolment and registration
The standard
healthcare transactions in recent times are controlled by the National Provider
Identifier (NPI) over the healthcare provider identifiers. So it becomes an
unleveraged rule for DMEPOS suppliers to acquire the NPI before they intend to
enroll in Medicare programs. Only if you do this, you will be able to bill and
be paid for services offered to Medicare beneficiaries.
Conclusion:
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About 24/7
Medical Billing Services
24/7
Medical Billing Services is the nation’s leading medical billing service
provider catering services to more than 43 specialties across the entire 50
states. You can rely on us for end-to-end revenue cycle management. We guarantee
up to 10-20% increase in the revenue with cost reduction of your practice for
up to 50%. Call us today at 888-502-0537 to know more on how we can help boost
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Media
Contact –
Hari
Sudan, Media Relations,
24/7 Medical
Billing Services,
16192
Coastal Hwy,
Lewes, DE
– 19958
Tel: + 1
-888-502-0537
Email - info@247medicalbillingservices.com
Website – www.247medicalbillingservices.com
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