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Medicare Jurisdiction B DME MAC Supplier Manual: Chapter 8 September 2012 Update Documentation Orders All items billed to Medicare require a prescription. An order for each item billed must be signed

This is intended to ensure that Medicare may be provided with the most up-to-date information and orders for an area of treatment. Medicare does not make a practice payment for every medicine. The payment schedule for each procedure or treatment is designed to enable Medicare to recover sufficient amounts to cover all the actual Medicare charges. Physicians who bill using a prescription ordering system do not have to make a payment to Medicare on each medicine. Only those payments that Medicare is entitled to recover under existing program regulations that have been signed by the practitioner and are retained by the practitioner for administrative purposes may be made to Medicare. Medicare charges for each item billed to Medicare include the practice expense, the amounts Medicare has to reimburse the practitioner for, and the amount paid to the practitioner. In an effort to assist Medicare with the reconciliation of Medicare's claims and the practitioner reimbursement amounts, the contractor must include Medicare's claims on all the billing materials that it sends to Medicare. For certain payment instruments, such as the ICD-9-CM or ICD-10-CM, the supplier must include the following information for each item billed to Medicare: If the prescribing physician has received any Medicare provider reimbursement, then (A) the practitioner's name and address at the time the payment was made, and the date the payment was issued in accordance with procedures established by agreement between the physician and the supplier; (B) the name of each reimbursement provider (such as physician or hospital); and (C) the amount of each reimbursed item (the amount of Medicare payment and any Medicare cost-sharing charge that the provider is required to make to Medicare, as applicable) and the date of the reimbursement. The CMS has provided, at its expense, a computer program that is used by the contractor to record (1) the practitioner's prescription information with respect to each drug covered under Part D and each part of the DME in which pharmaceutical benefits are provided, (2) the physician's and practitioner reimbursement amount information with respect to each drug covered under Part D and each part of the DME in which pharmaceutical benefits are provided, and (3) the practitioner's practice expense information on each drug covered under Part D and each part of the DME. The program includes procedures as described in the CMS documentation for making these documents available to Medicare Contractors who use it to perform the obligations established by Medicare and by Medicare Contractors on behalf of Medicare. The document is available to the public in electronic format in the CMS Drug Benefits section.

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What is jurisdiction b dme mac?

Jurisdiction B DME MAC refers to the Durable Medical Equipment Medicare Administrative Contractor responsible for processing Medicare claims for DME suppliers in Region B, which includes the states of Alabama, Georgia, Tennessee, and the U.S. Virgin Islands.

Who is required to file jurisdiction b dme mac?

DME suppliers operating in Region B (Alabama, Georgia, Tennessee, and the U.S. Virgin Islands) are required to file claims through the jurisdiction B DME MAC.

How to fill out jurisdiction b dme mac?

To fill out jurisdiction B DME MAC, DME suppliers need to submit their claims electronically using the appropriate billing forms and codes specified by the DME MAC.

What is the purpose of jurisdiction b dme mac?

The purpose of jurisdiction B DME MAC is to process and adjudicate Medicare claims for durable medical equipment suppliers in Region B, ensuring accurate payment and compliance with Medicare regulations.

What information must be reported on jurisdiction b dme mac?

DME suppliers filing jurisdiction B DME MAC claims must report relevant patient, provider, and service information, including the patient's Medicare number, diagnosis code, procedure code, and billed charges.

When is the deadline to file jurisdiction b dme mac in 2023?

The exact deadline to file jurisdiction B DME MAC claims in 2023 will depend on the specific regulations and guidelines set by the Centers for Medicare & Medicaid Services (CMS) for that year. It is advised to consult the official CMS website or contact the jurisdiction B DME MAC for the latest deadline information.

What is the penalty for the late filing of jurisdiction b dme mac?

The penalties for late filing of jurisdiction B DME MAC claims can vary depending on the specific circumstances and regulations. It is important for DME suppliers to comply with the designated filing deadlines to avoid potential penalties, such as claim denial or delayed payments.

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