Wednesday, May 25, 2022

Re: Medicare billing

Shlomo Heifetz

Hi Cindy,

See Medicare Claims Manual Chapter 15 section 20.3 and the medicare minute video below: In the narrative field (Box 19) for each line we write “salvage claim due to …..(the reason for the salvage. i.e. death, patient refused delivery, condition changed, cannot contact patient for delivery). We also remove all codes for parts that we can return or use on another device like unused knees and feet, liners, socks, etc.

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cgsmedicare.com_jc_education_video_vid-5Fsalvage.html&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=g79FNhOfFyAO7MTZQeOUFgPM5oi2ziXPT6jYZdTVOTQ&e=

[https://urldefense.proofpoint.com/v2/url?u=https-3A__cgsmedicare.com_img_cgs-5Fsm-5Flogo.jpg&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=zPSwspLjsitVgH8gu6rJCRA_VU6D9LVYsAVwBSqN2Ng&e=]

Medicare Minuteâ„ : Salvage Claims

www.cgsmedicare.com

Dr. Robert Hoover, Medical Director for CGS Administrators, Jurisdiction C DME MAC talks about billing for custom fabricated items when the beneficiary cancels the order, their condition changes, or they pass away before delivery.

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cms.gov_Regulations-2Dand-2DGuidance_Guidance_Manuals_downloads_bp102c15.pdf&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=aFBQDaYqCqed0QSFdTeTqsNYQmmbQtWLCR143tmLsvo&e=

Medicare Benefit Policy Manual

www.cms.gov

Medicare Benefit Policy Manual . Chapter 15 – Covered Medical and Other Health Services . Table of Contents (Rev. 241, 02-02-18) Transmittals for Chapter 15

Best,

Shlomo

Shlomo Heifetz

Director of Operations

o 216-371-0660 x 200 f 866-536-2954 e [email protected]

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2440 W 8th St I Erie I Pennsylvania I 16505

2101 Richmond Rd STE 1000 I Beachwood I Ohio I 44122 **NEW ADDRESS**

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Silver Spring I Maryland I Mobile Services

________________________________

From: Orthotics and Prosthetics List on behalf of Cindy Anderson

Sent: Friday, November 9, 2018 3:58:13 PM

To: [email protected]

Subject: [OANDP-L] Medicare billing

Hello All,

I was wondering if anyone can point me to the chapter in the Medicare manual

regarding billing for refused custom made orthoses. I’m not sure if it’s

still the same as billing the date of death and have been unable to find

anything current.

Thanks,

Cindy

749 Hope Road, Suite C

Eatontown, NJ 07724

(732) 380- 0366 Phone

(732) 380-0245 Fax

[email protected]

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