Author Topic: NY Work Comp and DME  (Read 1602 times)

DrCampola

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NY Work Comp and DME
« on: April 17, 2009, 06:26:02 PM »
Hello,

Does anyone know if there are any special requirements, permits or certificates to bill a DME supply dispensed by a third party in NY?  NY Comp law states that the prescribing physician cannot make a profit from dispensing a DME, they must submit thier invoice and are reimbursed for the cost only.  However, DME vendors may profit from dispensing DME in NY. 

My company supplys post surgical back braces I would like to bill ny comp insurance directly.  Any thoughts?  Are there any managed care comp insurers in NY?

Thank you!!!

Pay_My_Claims

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Re: NY Work Comp and DME
« Reply #1 on: April 17, 2009, 06:27:53 PM »
I have no idea..in NC comp has a fee schedule and thats what you get paid. If the hcpcs isn't on the fee schedule you get 20% over cost.

Michele

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Re: NY Work Comp and DME
« Reply #2 on: April 17, 2009, 09:19:36 PM »
I'm not sure but have you tried to contact the state comp board?

Michele
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PTBILLER

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Re: NY Work Comp and DME
« Reply #3 on: April 21, 2009, 09:02:18 PM »
Hi DrCampola-

I work with New York State WC a lot with billing Physical Therapy in that state.  I refer to the NYSIF site and have found some very useful information at this link: http://ww3.nysif.com/Home/Workers_Compensation/MedicalProviders.aspx

Hope this helps!
Pam McKewen