Find all needed information about Medicare Support Surfaces. Below you can see links where you can find everything you want to know about Medicare Support Surfaces.
https://www.cms.gov/Medicare/Medicare-Contracting/ContractorLearningResources/downloads/JA1014.pdf
Pressure reducing support surfaces are a type of DME used for the care of pressure sores, also known as pressure ulcers. • Pressure ulcers are lesions caused by unrelieved pressure resulting in damage of underlying tissue. • Support surfaces are coded under one of 16 different Healthcare Common Procedure Coding System codes. •
https://www.russellmedical.com/medicare/support-surfaces/
Group 2 Support Surface LCD Group 3: Air-fluidized Bed. Medicare Qualifications. Patient must meet ALL of the following: Stage III (full-thickness tissue loss) or stage IV (deep tissue destruction) pressure sore. Bedridden or chair bound as a result of severely limited mobility.
https://www.cgsmedicare.com/jc/mr/SSR.html
Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA …
https://www.medicare.gov/coverage/air-fluidized-beds
Medicare Part B (Medical Insurance) covers air-fluidized beds and other support surfaces as durable medical equipment (DME) that your doctor prescribes for use in your home.
https://med.noridianmedicare.com/web/jddme/cert-reviews/mr/pre-claim/required-programs/prior-authorization-for-prss
Due to the CMS final rule, in 2016, a Condition of Payment Prior Authorization (COPPA) process for certain DMEPOS that are frequently subject to unnecessary utilization was established. In 2019, it is expanding to include Pressure Reducing Support Surfaces (PRSS) HCPCS codes E0193, E0277, E0371, E0372, and E0373.
https://www.cgsmedicare.com/pdf/dme_checklists/grp2_support_surfaces_2018re.pdf
• All new rental series claims for the following Group 2 Support Surfaces with a date of delivery on or after July 22 , 2019 for the states of California, Indiana, New Jersey, and North Carolina must be associated with a prior authorization request as a condition of payment: E0193, E0277, E0371, E0372, and E0373.
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