General Category > General Questions
NY Work Comp and DME
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DrCampola:
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:
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:
I'm not sure but have you tried to contact the state comp board?
Michele
PTBILLER:
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!
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