Catalog Number : cra1069
Title : Durable Medical Equipment (DME): Coding, Billing and the DMEPOS Fee Schedule
Speaker : Duane Abbey

Webplay Recording Date : 6-27-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

What is Durable Medical Equipment (DME)? When should HCPCS codes be used? What HCPCS codes should be used? To answer these questions and more come join us in this important and educational Webinar.

Target Audience:

• For Hospitals and Clinics - All Coding, Billing and Reimbursement Personnel, PT/OT Staff, Central Supply Staff, Health Information Management Personnel, Information Systems and Information Technology Personnel, Chargemaster Coordinators, Financial Personnel, Compliance Personnel, and Interested Physician and Clinical Personnel.

Webinar Objectives:

• Appreciate the concept of true DME versus implantable DME and medical devices
• Understand how DME is classified under the Medicare program
• Appreciate the DMEPOS fee schedule and payment for DME
• Understand the purpose, functions and process of being a DME supplier
• Appreciate the process of filing the CMS-855-S for enrollment as a DME supplier
• Understand who can bill what DME and to whom the DME should be billed
• Review the various Level II HCPCS codes for DME
• Appreciate Medicare’s extreme compliance concerns concerning incorrect payment for DME
• Review specific compliance concerns relative to dispensing DME
• Appreciate how both hospitals and physicians become involved with DME

Webinar Outline:

• DMEPOS – What Is It?
  • Definition Of DME
  • Categorization and Classification Of DME
  • Sources For Information o Payment System Interfaces
  • Compliance Overview – False Claims o DMEPOS Fee Schedule
• Coding And Billing For DME
  • DME Billable By Physicians To Carriers
  • DME Billable By Hospitals To Fiscal Intermediaries
  • DME Billable Only To DMERCs
  • Level II HCPCS Codes
  • Charge Master Setup
  • Common Items For Hospitals
  • Common Items for Physicians/Clinics
  • Implantable Devices, DME and APCs
  • Prosthetics/Orthotics – PT/OT Interface
  • 2-Day DRG Rule for DME
• Administrative/Organizational Concerns
  • Obtaining A Provider Number
  • CMS Form 855-S – Key Elements
  • Dispensing Location Concept
  • DME Closet Concept - ED
  • Associated DME Companies
  • Freedom Of Choice Concept
  • Inpatient DME Suppliers
  • Under Arrangement DME Supplier
  • Alternative Approaches
• Examples/Case Studies
  • Physicians Dispensing DME
  • Hospital ED Dispensing Crutches/Canes/Walkers
  • PT/OT Custom Splinting – Therapy-Only Codes
• PT/OT – Prosthetic/Orthotics
  • Wheelchair Clinics
  • Compliance Considerations
  • False Claim Act
  • Fraud, Abuse and Anti-Kickback
  • Repair Versus Warranty
  • Developing Written Policies & Procedures
• Sources For Further DME Information
• Questions & Answers

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.