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Medicare DMEPOS Payments While Inpatient

This product revised Medicare DMEPOS Payments While Inpatient fact sheet comprises Subregulatory Guidance on Medicare DMEPOS Inpatient Payments based on content from Medicare Claims Processing Manual Chapter 3, Section 10.4 A, Medicare Claims Processing Manual Chapter 30, Section 130.1, Medicare Improperly Paid Suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Beneficiaries During Inpatient Stays (HHS-OIG, Office of Audit Services), and Medicare Payment Systems.
CMS policy or operation subject matter experts reviewed/cleared this product. The revised Medicare DMEPOS Payments While Inpatient fact sheet educates providers about improper inpatient supplier claims related to DMEPOS. The previous version of this Medicare DMEPOS Payments While Inpatient fact sheet is posted on the CMS website at: https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/meddmeposinpatient-mln1541573.pdf

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 27, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.