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Hospital Beds - JD DME

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Hospital Beds

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Documentation

Reviews/Audits

  • Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review

Tips

Topic Detail
Billing Miscellaneous Code E1399 Use when billing a product not described by a specific HCPCS code within Hospital Beds and Accessories - Policy Article (A52508).
Providing a PRSS
  • When Beneficiary owns Hospital Bed with mattress - Providing a mattress-type PRSS to replace an existing mattress is allowed if there is a change in the beneficiary's medical condition that justifies coverage of the PRSS. When the beneficiary owns a hospital bed with mattress, it is their decision regarding the disposition of that mattress. The supplier may bill for the appropriate HCPCS code for the PRSS provided.
  • When Hospital Bed with mattress is in a capped rental period - Providing a mattress-type PRSS to replace an existing mattress is allowed if there is a change in the beneficiary's medical condition that justifies coverage of the PRSS. In this scenario, the regular mattress must be returned to the supplier and the supplier must stop billing the HCPCS code for the combination bed with mattress.
Billing Instruction - Hospital Beds and Pressure Reducing Support Surfaces Please refer to the Billing Instruction - Hospital Beds and Pressure Reducing Support Surfaces DMD joint article.

 

Last Updated Fri, 07 Oct 2022 20:05:49 +0000

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