Medicare and other insurance carriers have specific guidelines for documenting, dispensing, and billing for Durable Medical Equipment. Many offices struggle with profit losses because they do not have a good process for DME. There are new guidelines for documentation needed for DME as well as other Local Coverage Determinations for governmental payors including Medicare that explain the medical necessity requirement for these items to be reimbursed. Once the required elements are known, and an office process is created, office can see a profit in dispensing DME.
So many offices are not aware of all of the rules and guidelines that must be followed to dispense DME to patients. This session will take attendees on the step-by-step process of enrolling in the Medicare program for DME, assigning codes to the items for billing purposes as well as what should be charged. We will also review the documentation requirements, ideas for keeping inventory, and anything else to make a DME program successful in a medical office
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.