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Division of Medicaid State of Mississippi Provider Policy Manual Section: Durable Medical Equipment Subject: ABU Bag (Bag-Mask-Valve-Resuscitator) New: Revised: Current: X Date: Date: 07/01/02 Section:
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Durable medical equipment policy refers to the guidelines and regulations governing the coverage and reimbursement of durable medical equipment, which includes items such as wheelchairs, hospital beds, and prosthetic devices.
Healthcare providers and suppliers who offer durable medical equipment and seek reimbursement through insurance or government programs are typically required to file durable medical equipment policy.
To fill out a durable medical equipment policy, healthcare providers or suppliers must provide detailed information about the patient, the specific equipment being requested, the medical necessity and supporting documentation, as well as any other required information as per the guidelines of the governing insurance or government program.
The purpose of durable medical equipment policy is to ensure proper utilization and reimbursement of durable medical equipment by establishing guidelines for coverage, medical necessity criteria, documentation requirements, and reimbursement rates.
The information reported on a durable medical equipment policy typically includes patient demographics, diagnosis codes, procedure codes, equipment details, supplier information, prescribing physician information, medical necessity documentation, and any additional information as required by the insurance or government program.
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