Wiki DME Billing

[lsandhoff]

We had a patient come in to our office and received a DME product. Unaware the patient was in a SNF. The patient has Humana MCR. Is there a way to still get paid for the DME product? Humana is asking for a refund.

 

[aceubanks]

You would need to bill to the SNF. Unfortunately, I have not found a way to get the SNF billing information other than calling the patient to find out which facility they were in and then call the SNF to get billing information.

 

[Cavalier40]

Years ago when I worked for a DME billing company there was a way to dial into a medicare computer that gave out SNF info. It reminded me of an old school BBS. I think we also used it for Power chair auths. There might be other direct MCR verification tools that can give SNF information. Unfortunately I do not think you can get the info through commercial portals like Navinet or by calling the MAC. I am too long removed to remember any more details