Suppliers of durable medical equipment, prosthetics, orthotics and supplies not under contract with Medicare in the Competitive Bidding Program will see a change in the way they report the accessories and supplies for Medicare claims payment, according to an AAPC report.
After Sept. 30, 2011, Medicare will deny claims submitted with modifier KY. Previously, non-contract, grandfathered suppliers submitting claims for purchased, covered accessories or supplies were told to use modifier KY on claims with dates of services on or after Jan. 1.
Suppliers of DMEPOS may continue to be paid for certain purchased, covered accessories or supplies furnished to Medicare beneficiaries for use with capped rental equipment, provided the non-contract supplier is also furnishing the capped rental equipment on a grandfathered basis. According to the report, a "grandfathered" supplier is a non-contract supplier who was providing capped rental items for Medicare beneficiaries when the Competitive Bidding Program started.
The supplier may continue to supply and receive payment for certain accessories and related supplies for the capped rental item until the rental cap payment is reached. Purchased, covered accessories and supplies include continuous positive airway pressure devices, hospital beds and related accessories and walkers and related accessories.
Read the AAPC report on modifier KY.
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After Sept. 30, 2011, Medicare will deny claims submitted with modifier KY. Previously, non-contract, grandfathered suppliers submitting claims for purchased, covered accessories or supplies were told to use modifier KY on claims with dates of services on or after Jan. 1.
Suppliers of DMEPOS may continue to be paid for certain purchased, covered accessories or supplies furnished to Medicare beneficiaries for use with capped rental equipment, provided the non-contract supplier is also furnishing the capped rental equipment on a grandfathered basis. According to the report, a "grandfathered" supplier is a non-contract supplier who was providing capped rental items for Medicare beneficiaries when the Competitive Bidding Program started.
The supplier may continue to supply and receive payment for certain accessories and related supplies for the capped rental item until the rental cap payment is reached. Purchased, covered accessories and supplies include continuous positive airway pressure devices, hospital beds and related accessories and walkers and related accessories.
Read the AAPC report on modifier KY.
Related Articles on Billing, Coding and Collections:
Coding Guidance: Endoscopic Balloon Dilation of Sinuses
AMA Issues Latest Revisions to CPT 2010 Book
Medical Record Jobs Expected to Increase 20% by 2018