Durable Medical Equipment (DME) Center

Content Section

Spotlights

Medicare DMEPOS Competitive Bidding Round 1 Rebid single payment amounts have been announced. View Press Release and Fact Sheet (posted 7/1/10).

Medicare Learning Network (MLN) Spotlights

Go to the Spotlight page for the latest MLN products and announcements! Check it often!

Important Links

Billing / Payment

Payment

Enrollment / Participation

Medicare Prescription Drug Coverage

Policies & Regulations

Medicare Secondary Payer

DME Medicare Administrative Contractor (MAC) Websites

Contacts

DME MAC Directory
SADMERC Helpline: (877) 735-1326 --- Who you should contact to determine which HCPCS code to use for billing
Regional Office Contacts
Contacting the Coordination of Benefits Contractor

Competitive Bidding

CMS Manuals & Transmittals

DME MAC Supplier Manuals

National Provider Identifier (NPI)

Coding

Healthcare Common Procedure Coding System (HCPCS)
2009 Jurisdiction List [ZIP, 37KB] -- A spreadsheet containing an updated list of the HCPCS for Durable Medical Equipment Regional Carrier (DMERC) and Part B local carrier jurisdictions is updated annually to reflect codes that have been added or discontinued (deleted) each year. Changes in section 20.3, Publication 100-04 of the Claims Processing Manual are reflected in the recurring update notification.
Alpha-Numeric HCPCS Files
ICD-9 Coding
ICD-10
Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs)

Program Integrity/ Medical Review

Chapter 5- Program Integrity Manual - Items and Services Having Special DMERC Review Considerations
Chapter 12- Program Integrity Manual - FI, Carrier, DMERC and RHHI Interaction and Coordination with Program Safeguard Contractors (PSCs)

Fraud & Abuse

Education

How to Stay Informed

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