decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Durable Medical Equipment / Overview
Subscribe or sign in to view the full article.
Article Overview
This overview explains how durable medical equipment is treated under Stark Law and the in-office ancillary services exception. It is relevant to physicians, group practices, compliance staff, and medical billing teams that need to understand the general scope of DME coverage, supplier requirements, and related Medicare-facing guidance. The article also points readers to the fee schedule and regulatory framework used to assess whether an item is considered DME.
Why This Topic Matters
DME billing and referral rules can affect physician practice arrangements, compliance obligations, and Medicare-related reimbursement workflows. Understanding the general framework helps practices recognize when additional regulatory review is needed before furnishing or billing equipment-related services.
What You Will Learn
- How durable medical equipment is defined at a general level
- How Stark Law and the in-office ancillary services exception relate to DME
- Which broad categories of equipment are discussed as potentially permitted or excluded
- What compliance and supplier-related considerations are mentioned for DME billing
- What external Medicare resources are referenced for determining DME status
Who Should Read This
- Physicians
- Group practice administrators
- Medical coders
- Medical billers
- Compliance professionals
- Revenue cycle staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com