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PrimaTech Medical Systems provides its dealers with a vast assortment of tools and forms to make the daunting task of reimbursement easier. For additional billing help call customer service at 1-800-621-4844.
Home Care
Part B of Medicare pays for Group I and Group II support surfaces in the home setting for patients that qualify. Click on the links below for additional information.
Medical Policy Group I Support Surfaces
Medical Policy Group II Support Surfaces
Reimbursement Help Flow Chart Group I
Reimbursement Help Flow Chart Group II
Group I Certificate of Medical Necessity
GroupII Certificate of Medical Necessity
Jurisdiction & Fee Schedules
Long Term Care & Acute Care
In most inpatient settings the facility is responsible for paying for all services including the use of an appropriate support surface. Examples of inpatient facilities would be acute-care hospitals, skilled nursing facilities, and long-term acute hospitals. Facilities often contract with third party vendors to handle support surface needs, and receive reimbursement on prospectively determined rates.
Medicare does not pay for durable medical equipment (including support surfaces) in nursing homes excluding Intermediate Care Facility/Mentally Retarded facilities. Nursing homes are not considered the patient’s home due to the fact that they have a medical component. Nursing homes should have a license stating how they are registered.
Medicare pays for durable medical equipment in Assisted Living facilities otherwise known as custodial care facilities.
Disclaimer: These guidelines are for reference only. Please check with your DMERC for further details.
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