decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
DME Model Compliance Plan / Risk Areas / Selection of HCPCS codes
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Article Overview
This article addresses compliance considerations for durable medical equipment suppliers, with emphasis on accurate HCPCS code selection, internal policy controls, and review processes before claims are submitted. It is intended for billing, compliance, and coding staff who handle supplier documentation and want a general understanding of risk areas discussed by OIG guidance and related support resources.
Why This Topic Matters
Accurate code selection and review processes are important for reducing billing risk and understanding how compliance expectations apply to supplier claims.
What You Will Learn
- The role of written policies and procedures in durable medical equipment billing compliance.
- Why internal review of selected codes is discussed as a safeguard in supplier coding workflows.
- How the article frames external coding support resources for questions about HCPCS selection.
- The general compliance risks associated with inaccurate billing submissions.
Who Should Read This
- Durable medical equipment suppliers
- Medical coders
- Billing staff
- Compliance officers
- Revenue cycle staff
Code Ranges Discussed
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Quick, Current, Complete - www.findacode.com