Wiki Payment policy DME Limb Compression device rental and wrap at a surgical center

[stacyciccone]

Looking for payment policy on limb compression device rental and wrap at a surgical center. I thought that payment of device and pressure wraps are included in the payment to the surgical center and the surgical center pays the DME company. Please advise. Thank you

 

[thomas7331]

There are no blanket payment policies that apply in every situation - payment policies are payer-specific and also contract-specific. In many cases, facility policies or contracts for surgical center do often pay based on case rates for a given procedures and for which incidental supplies do not receive separate reimbursement, but there's no general rule that requires that this will always be the case. Some facilities might negotiate a 'carve-out' or policy exception in their payer contract which would allow for separate payment for certain items.