DMEPOS Claims for Inpatient/Skilled Nursing Facility Patients
Linda Collins
10-06-2020
Blog
When a patient is in a Medicare Part A covered stay, the needed DMEPOS items are furnished by the facility. There may be limited cases where the claim may be submitted directly to Medicare.
The DME MACs have created a reference guide to assist in determining when to bill the facility or submit a claim to Medicare.
You may print the attached Inpatient Hospital/Skilled Nursing Facility (SNF) DMEPOS Claim Submission Reference Aid. It is a step by step guide to determining when an item is billed to a facility or directly to Medicare.
Another resource you may find helpful is the Consolidated Billing Tool, which allows you to search by HCPCS code to find out how to bill the code.