SJCCPC
Guest
Hello,
We have been billing the E0781 (Pump) and (A4222) to DMERC for years. We own the supplies for the locations we bill DMERC. Medicare is billed the clinical portion, OV's and other drugs to Medicare. The pump admin code 96416 is also billed on the clinical claim to Medicare.
Is this allowed? I received the article from MLN yesterday and I questioning if I am billing correctly. Am I allowed to bill both DMERC and Medicare? I saw an article that read we cannot bill both supplies and the administration codes
Some of the common drugs given via pump is Yondelis, which we bill to Medicare (Unlisted code). DMERC is billed for Mesna, Ifex, and 5FU.
Any insight or advice would be much appreciated.
Thank you!
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1609.pdf
We have been billing the E0781 (Pump) and (A4222) to DMERC for years. We own the supplies for the locations we bill DMERC. Medicare is billed the clinical portion, OV's and other drugs to Medicare. The pump admin code 96416 is also billed on the clinical claim to Medicare.
Is this allowed? I received the article from MLN yesterday and I questioning if I am billing correctly. Am I allowed to bill both DMERC and Medicare? I saw an article that read we cannot bill both supplies and the administration codes
Some of the common drugs given via pump is Yondelis, which we bill to Medicare (Unlisted code). DMERC is billed for Mesna, Ifex, and 5FU.
Any insight or advice would be much appreciated.
Thank you!
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1609.pdf