Wiki Dme

PLAIDMAN

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Just recently we have begun to get denials on dme items that the payor is stating are included in the office visit.

I know for instance Medicare considers a surgical shoe a dressing and considers dressings included, However, this is happening now with somewhat more expensive items such as a $ 60 elobw brace and it is not even a Medicare pt.

Is anyone having this issue ? How did you resovle this and can you direct me to maybe something that lists what types of dme are considered included?

Thanks!
 
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