Our organization is in review of the Addenda for professional claims (837P) from a technical perspective and are trying to get a better handle on the billing scenarios relating to the below. Any responses from the payer/provider community would be helpful to be able to better understand how this will be implemented industry wide. Questions have been posed to CMS for guidance relating to Medicare Part B implementation on the below; However, they cannot comment or provide guidance at this time since the Addenda has not yet been published in the Federal Register.
DME Rental and/or Purchase Amounts: Do these represent the price for the provider or the price that the patient/payer is being billed for the rental/purchase DME? If it is the amount that the patient/payer is being billed, can billing scenarios as to how the purchase price would differ from the amount being billed in SV102 be shared? NDC Drug Unit Price: Does this represent the price for the practice or the price that the patient/payer is being billed? Drug Unit Count: How does this value differ from the units ( Units or International Units) reported in the SV104? Can billing scenarios be shared relating to this element? Thank you in advance for any information members can share. Caterina Snyder Special Projects Misys Healthcare Systems (formerly Medic Computer Systems, LLC.) *[EMAIL PROTECTED] * (800) 347-3473 ext. 2856 FAX (208) 247-1139 --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [email protected] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
