Even if they show you a MEDICARE card, if their OTHER card says "Medicare Health Plan" then they aren't Medicare, they're HMO !!! To find out . if a patient has .met the deductable .call. . . --- . . . 8 6 6 - 4 1 9 - 9 4 5 8 for inhalation patients It is now required that we tell Medicare the following information every time: WHEN was the nebulizer ORIGINALLY DELIVERED to the patient?   orig. delivery date Does this patient OWN or are they RENTING the nebulizer they use?   OWNED    or    STILL UNDER RENTAL for diabetitic patients We must report to Medicare how many times a day all diabetic patients are ordered to test.
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New Patient Menu :	.	Enter A New Patient
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Existing Patient Menu :	.	Diabetic Supplies
.	.	Inhalation Supplies
.	.	Ostomy Supplies
.	.	Urologic Supplies
( Web App - HIPAA Compliant - Patient Info safe )	.	Incontinent Supplies
.	.	Wound Care Supplies
.	.	Pharmacologic Supplies
.	.	Generic Supply Entry ( O2, Wheelchairs etc. )
.	.	Diabetic Shoes Entry
.	.	Enter A Flu Shot Patient
Patient Updates Menu :	.	Update Patient Information
.	.	Terminate Therapy / Patient
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. Secure Communications App To Contact Us (HIPAA Compliant )
ONLINE OPS MANUAL
Request Information From Us Over The Web. (HIPAA Compliant ) .
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If you need a login name and password - > EMAIL ME - RonL@IHSnet.com

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Carrier Web sites:	Web Sites
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Carrier Phone Numbers:	Carrier Phone No's
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SEARCH FOR: Codes & Fees	dmecsapp/do/search
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SEARCH FOR: ICD9-CM Codes	icd9data/search
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SEARCH FOR: Physician UPIN No.	upin/search
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SEARCH FOR: Physician NPI No.	providers/search
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SEARCH FOR: Medicare Codes & Fees:	Do Medicare Search
SEARCH FOR: ICD9-CM Codes:	Do a ICD9 Code Search
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Medicare Coverage LCD's	Medicare Coverage Rules LCD's
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Check for Similar Equipment:	Toll Free Number
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Almost Always Covered:	Almost Always Covered With Medicare List
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Almost Never Covered:	Almost Never Covered With Medicare List
Medicare Part B Not Covered:	Medicare Not Covered List
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BC/BS Prefix Legend	BC/BS Prefix Legend
Medi-Cal Doc's:	Medi-Cal DME/Med Supply Reference
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Nebulizer & Drugs :	.
	Inhalation Drugs Fees (CMS First Quarter  *  PDF ) Inhalation Drugs Policy ( CMS LCD Rule  *  PDF) Inhalation Drugs Policy and Fees ( Combined PDF ) Nebulizer Replacement Items Frequency.( HTML Page )
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Other Part B Drugs:	Epoetin & Procrit ( Policy - PDF )
	Immunosuppressive Drugs ( Policy )
	MD CAP Drug List ( PDF )
	Budesonide Coverage Rule ( PDF )
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Coverage Rules	Medicare covers compression stockings only under this condition: ( Policy )
& More:	Diabetitic Supplies Replacement Quantities ( Policy )
.	Therapeutic Shoes for Persons with Diabetes ( Policy )
	Medicare Therapeutic Shoes Bill ( from ACOR )
	Diabetic Shoe Fees ( Excel )
	Manual Wheelchair ( PDF )
	Motorized Wheelchair ( PDF )
	7 - Element Policy"on Power Mobility Devices ( PDF of writtem order )
	Power Operated Vehicle ( PDF )
	Pressure Reducing Support Surfaces ( Policy )
	Surgical Dressings (Wound Care) ( Policy )
	Urological Supplies ( Policy )
	Blood Pressure Monitors ( text )
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	Medicare Beneficiary Signature Rule ( PDF )
	Medicare Physician Signature Rule ( PDF )
	Medicare Fax Script / Order Rule ( text )
	Patient Declaration of Hardship form ( CMS Version ) ( PDF )

Medicare A to Z Fee Schedule: . Download to your computer and use Excel to find the price Medicare pays for product. Just because the item is listed does not indicate coverage!

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All States 2011 ( Excel XLS format) COPAY amounts would be TWENTY PERCENT (20%) of the fee schedule amount, not 20 percent of retail or your preferred price. You must charge copayments from the FEE SCHEDULE AMOUNT, which is the amount Medicare would approve.

CMS MD Written Order and CMN Blanks ( PDF Files )	.	Group 1 Support Surface
		Infusion Pump CMN Infusion Pump CMN Instructions
		Oxygen Therapy CMN Oxygen Therapy CMN Instructions
		Osteogenesis Stimulators CMN Osteogenesis Stimulators CMN Instructions
		Parenteral AND Enteral Nutrition CMN Parenteral AND Enteral Nutrition CMN Instructions
NOTE: These CMN's are INTERACTIVE. You can plug information in, and print them out. You can also save them to your computer, then enter your provider info, save it again, and they will retain your provider data for future use.		Pneumatic Compression Device/Lymphedema Pump CMN Pneumatic Compression Device CMN Instructions
		Seat Lift Mechanism CMN Seat Lift Mechanism CMN Instructions
	.	TENS CMN TENS CMN Instructions
	.	THERAPY CONTINUATION CMN THERAPY CONTINUATION Instructions
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ABD Forms	Advanced Benificiary Notice of Noncoverage - CMS 0938-0566
	ABN instructions
You MUST send the MD the instructions!

Documentation Checklists:

Blank Patient Instructions: ( PDF Files )	.	How To Use A Wheelchair
		How To Use A Hospital Bed
		How To Use Oxygen Equipment
		How To Use Walkers & Canes
		How To Use a Nebulizer for Treatment
		How To Set Up a Nebulizer for Treatment

Other Blank Forms: ( PDF Files )	.	Blank Full Sheet CID
		Blank Half Sheet CID
		Blank Assignment of Benefit
		Blank Therapy Termination Form
		If you need new forms tailored for your store, please contact us. There is no charge. PLEASE NOTE: You can't just say "FLU SHOT" anymore. We need to know WHICH VACCINE YOU GAVE! Aluria, Flulaval, Fluvirin or Fluzone. Either have us make you rosters for each one, or ID which vaccine you gave (effective 1-1-2011)
		Medicare Flu Shot Roster
		Medicare Pneumococcal Shot Roster
		Patient Survey Form
		Patient Complaint Procedures
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INTERACTIVE FORMS		MEDICARE Patient Complaint Log ( INTERACTIVE FOR DATA ENTRY )
( see CMN's also )	.	MEDICARE Patient Complaint Protocol ( PDF )

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MORE:	HIPAA Request For Any Patient Info At Integrated ( Web App )
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	IHS Most Common ICD9's List
	IHS Glossary
	Client EOMB Processing
	Client Step-By-Step
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. Secure Communications App To Contact Us (HIPAA Compliant )

ONLINE OPS MANUAL

Request Information From Us Over The Web (HIPAA Compliant ) .

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