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Billing Practices (DME) |
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Manual: Home Care Corporate Compliance Manual (Ver 1) Department: HOME CARE
MCN’s customizable template, Billing Practices (DME), is taken from our Home Care Corporate Compliance Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch. Here is some sample content from Billing Practices (DME):
| | POLICY:
It is the policy of this organization to ensure that all of its billing practices adhere to all applicable federal, state and local laws and accreditation standards, and that the appropriate/correct code is used to identify the items and services provided.
The organization will not knowingly submit claims representing that the organization or any of its agents provided part or all of an item or service that the patient did not receive.
The organization will not submit claims for services that are not medically reasonable and necessary given the patient's current and documented... |
| Second excerpt: |
| | ...for equipment and supplies will only be submitted to Medicare or other federal, state or private payor health care plans that are properly completed, accurate and correctly identify the equipment of supplies ordered by the treating physician or other authorized person and furnished to the patient.
Ensure the item or service being claimed was provided, covered, reasonable and necessary.
The organization will not submit claims or receive payment for drugs used in conjunction with DMEPOS... |
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Back to Home Care Corporate Compliance Manual (Ver 1) |
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