Author Topic: WA DSHS & DME  (Read 2061 times)

mstilger

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WA DSHS & DME
« on: October 05, 2012, 05:58:30 PM »
If a DME product denies non covered CO96 denial code. Can we bill the patient for this we have had them sign a waiver made from our office or is this a provider W/O?

Michele

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Re: WA DSHS & DME
« Reply #1 on: October 08, 2012, 02:24:52 PM »
Is your waiver an ABN?
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mstilger

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Re: WA DSHS & DME
« Reply #2 on: October 08, 2012, 06:16:20 PM »
No its not an ABN. Its a DME form that our office made up that shows that this is a non covered item per DSHS and they have the patient sign this thinking we are able to bill after the denial. I thought you could not bill a DSHS patient know matter what. We are sending these patients to collections.

PMRNC

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Re: WA DSHS & DME
« Reply #3 on: October 09, 2012, 08:40:22 AM »
For Medicare you have to have an ABN, but for other carriers including Medicaid you have to take a look at the contract. Some states won't allow you to bill the patient if they are on Medicaid.
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