Four Types Of Dmes

Decent Essays
DME MAC stands for Durable Medical Equipment, Medicare Administration Contractor. DMEs are the equipment that helps assist a patient after they leave the hospital or clinic, like a wheel chair or crutches. MAC is in charge of processing DMEPOS claims to one of the four specific regional offices. Since it is their job to process those claims, it is our job to make sure the codes we are billing for are correctly coded. The codes we use must coincide with the services and equipment that are on the claim. If there is a mistake, the claim will be rejected and we will have to start the process all over

Related Documents

  • Improved Essays

    Hcr 220 Week 9 Rcm

    • 443 Words
    • 2 Pages

    RCM unifies the clinical and business side of healthcare using both primary and secondary patient data, insurance, and provider and the revenue cycle is vital in creating compliant and efficient reimbursement processes. The revenue cycle is divided into four which are preclaims activities, claims processing, account receivable and claims reconciliation and collection. The preclaims submission is the first process in the cycle which begins with patient case management and preregistration such as collection insurance information before patient arrives then collecting subsequent patient information to create a medical record number to meet financial, clinical and regulatory requirement and Medicare patient are advised on financial responsibilities if…

    • 443 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    1. Please describe your knowledge of the Michigan Public Act 593 (PA593). My previous experience with the Michigan Public Act 593 includes direct working experience with the legislation as a claims examiner at Meridian Health. In addition, I was to complete the course “Legal Aspects for Health Services Organization” for the completion of my Masters in Health Service Administration.…

    • 488 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Hi Nancy, Just a follow up on Mrs.’s Torres hospital bed I called Alixamar the DME vendor for status, I was informed by Julie at the DME provider that they had forward a form that must be filled out by PCP with a list of qualifications required to meet Medicare criteria, I also was inform that as soon as they received this form back they will deliver the bed to Mrs.’s Torres by next business day.…

    • 76 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Cms 1500

    • 444 Words
    • 2 Pages

    The CMS 1500 and the UB04 are two types of claims forms used to submit charges for reimbursement. The UB04 (also called CMS 1450) is mainly used for facility claims, such as hospitals, surgery centers, and nursing homes. They cover both inpatient and outpatient charges, along with any associated with diagnostics, supplies, and lab work. This forms shows the “resources used” by the facility. When this form is submitted electronically, it is called the 837-I, with the “I” standing for Institutional.…

    • 444 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Structural errors defy harmless-error analysis because they “affect the framework within which the trial proceeds. These two errors are important to this case…

    • 556 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    PAHCOM Research Paper

    • 556 Words
    • 3 Pages

    What is a Certified Medical Manager? A certified medical manager is a health care administrator who has passed the Professional Association of Health Care Office Management’s (PAHCOM) CMM exam. This credential verifies that the holder is a competent professional who can handle the business operations and health care administration of a medical organization.…

    • 556 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    What I learned In D.A.R.E By Alejandro Martinez Hi I will tell you about what I learned in D.A.R.E on Tuesdays in my classroom. There is a thing in cigarettes called nicotine that makes it very addicting. Also,that if your friend or somebody said something like “yo do you want to smoke some weed”?…

    • 228 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Compare and contrast Have you ever heard of a group called Micmacs. If you have then you have had an insane life. I am going to describe the Micmacs and the Inuit. I desire to tell you their differences and similarities.…

    • 361 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Example of a clean claims is when a primary carrier explains benefits for services correctly on forms, and uses appropriate code when submitting a claim. Rejected claims in the other hand is a claim submitted electronically missing valid information by the payer. Example of a rejected claims is when a claim was not submitted in timely manner by a staff member, which can cause a claim to be rejected. Incomplete claim is missing the National Provider Identifier (NPI), ID like ordering physician. Invalid claim is a claim that contains information, but is illogical incorrect.…

    • 961 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Abstract: Improving Post-Hospitalization follow-up for Veterans who are admitted into Non-VA facilities Objectives: VA policy mandates Non-VA facilities to notify the VA Transfer Center or Fee Basis department about Veterans’ admissions to initiate possible transfers and reviews for reimbursement. Since there is a lack of communication, primary care teams are not aware of the Veterans’ admissions. Consequently, Veterans who are admitted into Non-VA facilities do not receive appropriate and timely post-hospitalization care with their VA primary care teams. The objective of this quality improvement project is to improve post-hospitalization follow-up for Veterans who are admitted into Non-VA facilities by facilitating communications among Transfer…

    • 444 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The Problem of Alarm Fatigue Introduction: Enter any emergency room or hospital floor, and you will most likely find yourself accompanied with the sounds of beeps, chimes, and dings. Sounds are from the multitude of medical monitors and equipment being used to protect and keep patients alive. Alarms can be categorized as either physiological or technical. Physiological alarms are caused by a vital sign or patient conditions which has been deemed abnormal by the equipment or hospital. Technical alarms occur when there is something on the equipment that needs attention such as a defective part or a low battery.…

    • 1275 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Cost Benefit Analysis

    • 1774 Words
    • 7 Pages

    Choosing the appropriate EMR (electronic medical record) vendor is essential to a successful transition from paper records to electronic medical records. Many factors must be weighed in this selection process. One method to help hospitals and practices make this complex decision is to complete a cost-benefit analysis. Entire books have been written on how to conduct cost-benefit analysis and an in-depth analysis goes well beyond the scope of this paper. Instead, this discussion will focus on how cost-benefit analysis can help to determine an appropriate EMR vendor.…

    • 1774 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Family Theory Analysis

    • 715 Words
    • 3 Pages

    Family Theory Assessments and Application of Family Interventions According to the Family Theory, each part of a system is interrelated, dependent on each other, and affects one another (Codina Leik, 2014). Therefore, if one part of the system is damaged or dysfunctional, such as one member of a family, the rest of the system or family is also affected (Codina Leik, 2014). It is extremely important to incorporate this theory into assessments and family interventions in primary care. Both of my preceptors incorporated this system into their assessments and care.…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Fda Case Study

    • 1215 Words
    • 5 Pages

    1.1 Background The mission of the FDA Office of Financial Management (OFM), Division of Financial System Support (DFSS) is to coordinate the management of FDA’s financial system of record Unified Financial Management System (UFMS) with Health and Human Services (HHS) and the other HHS Operating Divisions (OpDivs) who currently use UFMS. UFMS is the HHS department wide financial system of record. The HHS Financial Enterprise System Management (FESM) organization is responsible for managing the global UFMS. DFSS ensures that the functionalities within UFMS meets FDA’s business needs and processes, any changes proposed by other OpDivs or HHS are communicated to our end users and that it does not break our internal financial business processes.…

    • 1215 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    SWOT Analysis Hamidi and Delbahari (2011) explains the SWOT analysis as a participatory model used by groups for examining conditions and developing appropriate strategies and plans, through assessing attributes and proficiencies to foster evidence for change within a group. SWOT analysis tool analyzes internal and external environments to make systematic approach to making decisions through analysis of strengths, weaknesses, opportunities, and threats. (Ghazinoory, Abdi, & Azadegan-Mehr, 2011). Marquis & Huston (2015) states to proceed with a SWOT analysis; the team must have a through understanding of the desired objective. The Diabetic Education Center (DEC) desired outcome is to improve the education process so that regardless of where…

    • 1116 Words
    • 5 Pages
    Improved Essays