R12667OTN

Transmittal #
R12667OTN
Issue Date
2024-05-31
Subject

Clarification of Liability for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims Overlapping Inpatient Hospital Stays.

Implementation Date
2024-07-01
CR #
13631
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2024-06-06
Publication #
100-20
Transmittal Year
2024

MLN Connects® Newsletter Message

DMEPOS: Clarification of Claim Liability for Overlapping Inpatient Hospital Stays 

CMS clarified that the denial liability for these claims should be assigned to the provider. Payment for DMEPOS provided during an inpatient stay is included in the hospital reimbursement and isn’t separately payable. Medicare Administrative Contractors will adjust claims you bring to their attention.

See the instruction to your Medicare Administrative Contractor (PDF).

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