DME MAC outlines provider responsibilities

Thursday, October 24, 2013

WASHINGTON – CMS has yet to issue official guidance concerning abandoned oxygen patients, other than to say the new providers who pick them up can bill for new 36-month rental periods. But during an educational session at Medtrade earlier this month, the Jurisdiction C DME MAC outlined several responsibilities, according to AAHomecare. They include: proving the oxygen therapy is medically necessary; obtaining proof that the former provider is leaving the business; and treating the first month rental as a replacement claim (using an RA modifier and claim narrative that includes the reason for the replacement). The association is working with CMS and the DME MACs to ensure providers receive complete guidance on the documentation they must provide when they pick up abandoned oxygen patients.