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Billing Alert.


Q: Are there circumstances under which a nursing facility can bill Medicare Part B for oxygen supplies?

A: No, because oxygen and oxygen equipment are included in the Medicare benefit category of durable medical equipment Durable medical equipment is a term of art used to describe certain Medicare benefits, that is, whether Medicare may pay for the item. The item is defined by Title XVIII the Social Security Act:

 (DME (Distributed Management Environment) A network monitoring and control protocol defined by the Open Software Foundation (now The Open Group). DME was not widely used.

DME - Distributed Management Environment
). This benefit is only available to beneficiaries who are still living at home.

According to the Medicare Part B definition, a nursing facility cannot be defined as a resident's home because it is an institution. Therefore, the nursing facility is prohibited from billing anything included in the DME benefit category, including oxygen supplies.

From Billing Alert for Long-Term Care, by Lee Heinbaugh, consultant, PMG PMG
abbr.
postmaster general


PMG
1. Postmaster General

2. Paymaster General
, LLC (Logical Link Control) See "LANs" under data link protocol.

LLC - Logical Link Control
 (Cleveland), published by HCPro, Inc. (www.hcpro.com). Nursing Homes/Long Term Care Management bears no responsibility for the opinions/advice contained herein.
COPYRIGHT 2005 Vendome Group LLC
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Title Annotation:nursing homes
Publication:Nursing Homes
Article Type:Brief Article
Geographic Code:1USA
Date:Aug 1, 2005
Words:124
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