This educational tool offers Medicare provider compliance tips to help you order and bill items and services for your eligible Medicare patients and meet medical necessity requirements. Patient refers to a Medicare beneficiary, and we refers to CMS. The tool includes information about:
- Affected providers
- HCPCS and CPT codes
- Billing denials and preventing them
- DMEPOS general documentation requirements
- Lab test order requirements
- Refill requirements
- Resources
For updates or changes to Medicare Administrative Contractor (MAC) articles, local coverage determinations (LCDs), and national coverage determinations (NCDs), visit the Medicare Coverage Database (MCD) or find your MAC’s website. Learn more about articles, LCDs, and NCDs at MCD Help & Resources.
Patients can visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) for specific questions about their billing, claims, medical records, or expenses.
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- Drugs
- Durable Medical Equipment, Prosthetics, Orthotics, & Supplies
- Breast Prostheses
- Cardiac Pacemakers
- Commodes
- CPAP Devices
- Glucose Monitoring Supplies
- Hospital Beds
- Infusion Pumps
- Lenses
- Lower Limb Orthoses
- Lower Limb Prostheses
- Manual Wheelchairs
- Nebulizers
- Negative Pressure Wound Therapy
- Orthopedic Footwear
- Ostomy Supplies
- Oxygen
- Patient Lifts
- Pneumatic Compression Devices
- Respiratory Assist Devices
- Speech Generating Devices
- Spinal Orthoses
- Suction Pumps
- Surgical Dressings
- Therapeutic Footwear
- Tracheostomy Supplies
- Urological Supplies
- Ventilators
- Walkers
- Wheelchair Options
- Wheelchair Seating
- Part A Services
- Part B Services
Disclaimers
CPT codes, descriptions, and other data only are copyright 2024 American Medical Association. All Rights Reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
View the Medicare Learning Network® Content Disclaimer and Department of Health & Human Services Disclosure.
The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health & Human Services (HHS).
