What is the jurisdiction of a DME for Medicare?
Jurisdiction A includes Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont, and the District of Columbia. Jurisdiction D includes Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, N.
What states are in jurisdiction D for Medicare?
The Jurisdiction 6 (J6) MAC is also responsible for processing Medicare home health and hospice billings in thirteen states and five U.S. territories: the states of Alaska, Arizona, California, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Oregon, Wisconsin and Washington, as well as the territories
What are the documentation guidelines for DME?
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. Patients medical record.
What is jurisdiction D-DME?
Jurisdiction D DME MAC is administered by Noridian for the states and U.S. territories of Alaska, Arizona, California, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming, American Samoa, Guam, and the Northern Mariana Islands.
How to submit DME claims to Medicare?
Submitting Claims to Medicare Medicare DME claims are typically submitted on the CMS-1500 form or its electronic equivalent. Key Considerations: Use the correct Place of Service code (usually 12 for home) Include the ordering physicians NPI.
