He has spent the last 7 years at CIGNA as the DMERC
Medical Director for Region D.
HCFA will have to expend money and staff time to train SNF staff on DMERC
policies and procedures, produce training materials and update manuals as part of its program integrity effort.
should be contacted for clarification on problem cases.
Lee said, "While the expanding base of loyal customers continued to drive the growth of our core diabetes testing supplies and respiratory pharmacy businesses, earnings during this quarter were impacted by charges related to investigations and anticipated DMERC
Since September 1999, PolyMedica has been reimbursed by all four DMERCs
based on its present pricing formula and previously had received no overpayment notices disputing that formula.
The Company also reported that the Region A DMERC
has accepted a check for $287,931, which was related to the refunds due Medicare for products returned to Liberty during the period January-December 2000.
PolyMedica has learned that the DMERCs
are having operational difficulties in processing the refunds for the returns submitted by Liberty.
Our understanding of the DMERC
business has grown and evolved over the past four years.
Abbreviations: AMP = Amputee Mobility Predictor, COM = center of mass, COP = center of pressure, DMERC
= Durable Medical Equipment Regional Carrier, DR = dynamic response, GRF = ground reaction force, ICC = intraclass correlation coefficient, MFCL = Medicare Functional Classification Level, PVD = peripheral vascular disease, SACH = solid ankle cushion heel, SAFE = stationary attachment flexible endoskeleton, SD = standard deviation, SEW = Symmetry in External Work, TTA = transtibial amputation, VA = Department of Veterans Affairs.
com) as just one resource for learning about DMERC
Since few, if any, clinical and financial software providers offer a Part B DMERC
billing module, integrating any of the Part B arrangements I have discussed will take planning.
Once the DMERC
number is issued, physicians are reimbursed through their regional DME carrier for any pessaries that they dispense.