Billing on a Non-assigned Basis
Tuesday, April 10, 2018 ~ 2:30PM - 3:30PM
Presented by Jeffrey Baird, Esq. and Lisa Smith, Esq. of Brown & Fortunato
On June 23, 2016, CMS published the July Fee Schedule for DME suppliers … and it is ugly. The rates encompass the expansion of competitive bid rates to non-CBAs. The cuts range between 45%-59% on common respiratory products, but reach 82% on TENS units and Enteral IV Poles. The bottom line is that Medicare will pay as little as possible for DME. In response, suppliers need to distance themselves from Medicare fee-for-service.
This webinar will discuss ways that the DME supplier can accomplish this. For example, the supplier can elect to be nonparticipating and provide DME on a non-assigned basis. Doing so raises a number of questions. For example:
1. What does it mean to bill non-assigned?
2. If the supplier bills an item non-assigned, then can the supplier set the price without limitations?
3. Can a supplier bill a rental item non-assigned?
Billing non-assigned ties into selling at retail. A DME supplier is engaged in “retail” when it sells an item for cash. The item sold may or may not be covered by Medicare … and the purchaser may or may not be a Medicare beneficiary. This webinar will discuss the legal parameters within which the supplier can engage in retail cash sales.
Price: Member $99.00 | Non-Member $129.00
