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What are the Medicare #'s to try to get reimbursement for a Roll-A-Bout (used when crutches and walkers can't)


A Roll-A-Bout is considered a durable medical supply (DMS) but most people rent them as a temporary solution to getting around when crutches are no longer an option (because of hand injuries, shoulders, back ect.) Most DMS are not covered by insurance so the battle begins with getting the right Medicare billing codes. If Medicare will pay, major medical is also suppose to pay. I am tyrying to get my information in order before I speak with them.

You're thinking along the right lines, but there's more to it than just getting the right codes. You have to also have the correct ICD-9 diagnosis codes that would enable you to bill the code set aside to specifically bill Medicare for DME (DMS...depends on where you work, but has the same meaning.) And then you have to consider where treatement for the illness took place so you use the correct code there, and then don't forget the 70 code if this person is in anyway connected with Hospice. If you know the basics of billing Medicare, then you should be able to find what you need here:

http://www.cms.hhs.gov/home/medicare.asp

And typically, Medicare A wouldn't pay for DME, but Medicare B will in some situations...and if you're in a skilled nursing or rehab setting at the time of need for the DME, then they are ultimately responsible for payment of the DME since they are paid by Medicare to cover all of your expenses while being treated. If you need help, you can email me privately. But without more information, I can only offer what I've shared so far.

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