One DME representative said the industry used the meeting to protest the practice of the durable medical equipment regional carriers to require documentation above and beyond CMNs for items that require CMNs.
Few SNFs have expertise with the complexities involved, with most Part B bills processed currently by Durable Medical Equipment Regional Carriers (DMERCs), a group of four insurance companies contracted by HCFA to process Part B claims.
The OIG also reported that the DMERCs have worked cooperatively with HCFA, the OIG, and the statistical analysis durable medical equipment regional carrier, which analyzes billing patterns across all four DMERCs, to improve Medicare claims processing and reduce fraud.
Derma Sciences (OTCBB:DSCI), a manufacturer and marketer of advanced wound care products, today announced that the Statistical Analysis Durable Medical Equipment Regional Carrier (SADMERC) - a contracted intermediary and carrier for the Centers for Medicare & Medicaid Services (CMS) - has notified the company of its decision regarding Healthcare Common Procedure Coding System (HCPCS) codes for billing purposes for MEDIHONEY(TM) Calcium Alginate dressings with Active Leptospermum Honey.
What is interesting here is that you had a longstanding issue about whether the IDPN coverage criteria are too restrictive or whether the durable medical equipment regional carriers are interpreting them too narrowly said Tillman.
Nursing homes purchased wound care products through their suppliers, and invoices were sent to one of four regional carriers known as a Durable Medical Equipment Regional Carrier (DMERC).
