Billing > Billing

Billing Non-Routine Medical Supplies

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mvalles80:
Can anyone give me tips on how to bill medical supplies for private insurances? We are a Home Health Agency and it is mainly for wound care.

Pay_My_Claims:
u have to use the appropriate hcpcs code for it, and you should determine coverage first.
what type of dme are u billing. wound care (dressings, resevoirs, suctions etc?)

mvalles80:
yes it dressings, saline etc. Ok so for example if I need to bill lets say for 4x4 Gauze but for 24 visits. Do I put the HCPCS code and then the amount for the whole 24 days together in one lump sum? What about Units? Would it be 24? ???

Pay_My_Claims:
ok, im not an expert in home health billing, but i believe you would bill the date span (09/01/09-09/25/09) and use the app hcpcs (A6219) and use the units would be 24. If the cost is .14cents then it would be a charge of 3.36. If I am not mistaken you won't need the NU mod on the commercial payors. please feel free to email me if you need to. I can give you some links to sites that would help. As stated I don't do home health, but I do do DME-custom rehab.

dates and codes are just examples.

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