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 ). 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. |
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