Medicare 48 hour rule: the answers.

Joe Sansone

In response to my post about O&P providers dispensing products at a hospital within 48 hours of a patients discharge date, please note the following:

In previous DMERC Medicare Advisorys, Medicare states that a provider can bill Medicare for products delivered within 48 hours of a patients discharge date. Medicare has recently stated that this holds true, but now adds the disclaimer that the product cannot be used in the hospital.
” In some cases it may be appropriate for DMEPOS suppliers to deliver medically necessary equipment to a facility that does not qualify as the patient’s home, up to two days prior to discharge (to a place that does qualify as a home) for the benefit of the patient for purposes of fitting or training of the patient on its use. However, the equipment must be for subsequent use in the beneficiary’s home and no billing may be made for this equipment for days used prior to the date of the patient’s discharge from the facility to the home.”

Thank you to all that offered their assistance.

Joe Sansone
C.E.O
TMC Orthopedic
www.tmcortho.com

 

Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.

O&P JOBS

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?

Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?