Category: DME Coding

2012 DMEPOS FEE SCHEDULE

The DMEPOS fee schedules are updated on an annual basis in accordance with statute and regulations. The update process for the DMEPOS fee schedule is located in Pub.100-04, Medicare Claims Processing Manual, chapter 23, section 60B. Policy: This recurring update notification provides instructions regarding the 2012 annual update for the DMEPOS fee schedule. Payment on a fee schedule basis is required for durable medical equipment (DME), prosthetic devices, orthotics, prosthetics, and surgical dressings by §1834(a), (h), and (i) of the Social Security Act.   Please click here for 2012 Fee Schedule.

Hear from the Office of Inspector General and other government experts as they educate local health care providers, compliance officers, and their legal counsel about the realities of Medicare fraud and the importance of implementing an effective compliance program.

• Get the Facts. Understand the law and the consequences of violating it.
• Make a Plan. Cultivate a culture of compliance within your health care organization.
• Know Where to Go. Learn what to do when a compliance issue arises.

This free compliance training is offered by the U.S. Department of Health and Human Services, Office of Inspector General. No registration is required to view this event.  Please follow this link for more information HEAT

DJO Global is proud to announce the April 11-14, 2011 DJO: Orthotic Fitter Course. This course is an ABC and BOC approved entry-level educational course for any practitioner wishing to become a Certified Orthotic Fitter (COF). This course provides a wonderful balance between lecture and laboratory experiences. Anatomy, physiology of injury, and symptoms requiring brace usage are discussed during lecture, while the laboratory sessions provide attendees hands-on experience fitting, donning and doffing various orthopedic braces.
Don’t miss your opportunity to increase your knowledge base and become one step closer to becoming a Certified Orthotic Fitter. Feel free to extend an invitation to all of your accounts as an opportunity for their employees to become a COF. For more information and registration form, please click here OrthoticFitterCourseBrochure

A letter from Stacey V. Brennan, M.D., FAAFP Medical Director, DME MAC, Jurisdiction B to physicians.

Dear Physician,

Leg braces are covered by Medicare when they are required to support the limb and/or restrict or eliminate motion of a joint because of disease, injury, congenital condition, or orthopedic surgical procedure. Although elastic supports may be beneficial to treat certain conditions, they are not eligible for coverage under the Medicare statutory brace benefit. Also, brace-like items that are used solely for pressure reduction and/or wound healing—e.g., devices used for the treatment of foot ulcers—are not eligible for coverage under the brace benefit.  To view and download the rest of this letter, please click on the following link  LOWER LIMB ORTHOSES