decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / Ab-00-02
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Article Overview
This February 2000 HCFA program memorandum addresses how DMERCs should handle pre-discharge delivery of DMEPOS items when a beneficiary is still in a facility. It outlines the broad policy framework for delivery timing, claim date-of-service handling, and the responsibilities of facilities and suppliers during the transition to home use. The article is relevant to Medicare billing staff, suppliers, facilities, and reimbursement professionals who need to understand the scope of the guidance and its implementation timeframe.
Why This Topic Matters
The memorandum clarifies how pre-discharge item delivery should be treated for Medicare processing purposes and helps distinguish supplier activity from facility obligations during an inpatient stay and discharge transition. It is important for entities that manage DMEPOS billing and compliance under HCFA/DMERC guidance.
Article Sections
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Conditions That Must Be Met
Outlines the general circumstances addressed by the memorandum and the types of items covered. It focuses on the broad prerequisites described for the pre-discharge delivery scenario.
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Date of Service for Claims Processing
Summarizes the claims-processing topic addressed by the memorandum, including how the timing of delivery and discharge affects reporting. It presents the general framework and the discussed claim scenarios at a high level.
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Facility Responsibilities During the Transition Period
Describes the facility-side responsibilities during the beneficiary’s transition from inpatient status to home use. It also notes the memorandum’s broader distinctions between facility coverage and supplier-delivered items.
What You Will Learn
- The scope of HCFA guidance on pre-discharge delivery of DMEPOS items
- How the memorandum frames claim timing for discharge-related item delivery
- What general responsibilities remain with facilities during the transition period
- Which broad categories of settings and beneficiaries are addressed by the policy
- The implementation and effective timing referenced in the memorandum
Who Should Read This
- DMEPOS suppliers
- DMERC billing staff
- Hospital and facility compliance staff
- Medicare reimbursement professionals
- Healthcare coding and claims processing teams
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