billing the dmercs and others for infusion pumps - ION Solutions
billing the dmercs and others for infusion pumps - ION Solutions
billing the dmercs and others for infusion pumps - ION Solutions
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BILLING FOR SUPPLIES AND DRUGS Suppliers <strong>and</strong> providers bill supplies that arenecessary <strong>for</strong> <strong>the</strong> effective use of DME, includingdrugs, with <strong>the</strong> appropriate HCPCS code identifying<strong>the</strong> supply. Suppliers <strong>and</strong> providers, o<strong>the</strong>r than HHAs, bill <strong>for</strong>drugs that are necessary <strong>for</strong> <strong>the</strong> effective use ofimplanted DME (HCPCS codes E0751, E0753, E0782,<strong>and</strong> E0783) to <strong>the</strong> local carrier. The DMERCs must:accept NDC codes <strong>for</strong> all drugs billed in <strong>the</strong> NCPDP<strong>for</strong>mat:accept NDC codes <strong>for</strong> oral anti-cancer drugs billed in ANSIX12N 837P, NCPDP <strong>and</strong> paper;accept HCPCS <strong>for</strong> all o<strong>the</strong>r drugs billed in ANSI X12N837P <strong>and</strong> paper;And return as unprocessable claims submitted with aninvalid NDC using Remittance Advice Remark Code N60.