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Through the Web Bill Processing Portal (owcp.dol.acs-inc.com). All fields are required and must be complete. Incomplete requests and requests that are not properly coded with CPT or HCPCS cannot be processed and will be returned. Date Requested Requested by Case file# Phone Claimant Name Claimant Date of Birth Claimant Date of Injury Provider Name.
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DURABLE FAQ
Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.
For services on or after January 1, 2023: Do not submit CMN or DIF forms or their electronic claim data elements with the claims or claims will be rejected and returned. For services before January 1, 2023: Submit CMN and DIF forms or their electronic data elements with the claims if required.
Form # CMS 855S. Form Title. Medicare Enrollment Application - Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers.
Effective immediately modifier -U3 Repair/Replacement to Beneficiary Owned Equipment is required when billing for repairs or replacement parts for beneficiary owned equipment when the beneficiary is an inpatient in a hospital or a resident of a skilled nursing facility.
NU — NEW DURABLE MEDICAL EQUIPMENT PURCHASE. This modifier is used for new DME items that are purchased. When using the NU modifier, you are indicating you have furnished the beneficiary with a new (never used) piece of equipment.
As part of the DME documentation requirement, make sure to include the following information, from the physician, with all submitted claims. Benefit and outcome of the patient using the DME items. Clinical and functional status of the patient to show medical necessity. Patient's medical record.
KX Modifier: Documentation on File The KX Modifier indicates the existence of required documentation on file to support the DME item's medical necessity. This modifier is applicable for the following categories: Hospital beds. Walkers.
The KX modifier, described in subsection D., is added to claim lines to indicate that the clinician attests that services at and above the therapy caps are medically necessary and justification is documented in the medical record. Page 11. 10.3.2 - Exceptions Process.
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