Author Topic: DME billing  (Read 1267 times)


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DME billing
« on: February 10, 2010, 10:33:07 AM »
We're a chiropractic office that occasionally provides TENS units.  No problems receiving reimbursement for the unit, but have a big problem when billing for the monthly replacement supplies (i.e. electrodes, pads, etc).  Using hcpcs A4595.  Aetna says it's not "separately reimbursable" and bundles it with the CMT code.  Empire BC/BS says they are "unable to pay due to a contractual agreement with the provider".  Any thoughts?


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Re: DME billing
« Reply #1 on: February 10, 2010, 08:49:55 PM »
I would call on the Aetna one and ask if the claim was processed correctly.  Doesn't seem right that supplies would be bundled with the manipulation.  If they say it was processed correctly I would recommend that the patient come and purchase supplies on a day they are not getting a treatment.  As for the Empire, I would call them too and ask them to explain the contractual agreement on the supplies.

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