Reimbursement

Below are reimbursement resources and guidelines for our medical devices. This information is updated periodically to stay current with CMS rules and regulations.

Hotline

To speak with a Customer Service representative about specific reimbursement questions, call our toll–free hotline at 1 (800) 424-0737.

Guidelines

HCPCS reference guide with CMS payment amounts

CPAP and bilevel guidelines

Oxygen qualifying guidelines

RAD guidelines

Fast facts

Accessories

AirMini™

ApneaLink™ Air

Competitive bidding fast facts

CPAP and bilevel

Connected Health Services

Integrated devices

Non-assigned claims

Oxygen concentrators

Repair and replacement fast facts

Respiratory Assist Devices (RADs)

Ventilators

Webinars and presentations

Avoiding legal landmines while navigating the DME cash-pay landscape: resources (August 2, 2017)

CMS references:

PDAC DME Coding System (DMECS) HCPCS code search

Medicare competitive bidding website

CGS documentation checklists

Noridian documentation checklists

Medicare Advance Beneficiary Notice (ABN)

Hurricane emergency relief:

CMS Overview: Hurricane Harvey and Irma information

CMS information regarding blanket waivers

Fact sheet: emergency Durable Medical Equipment, prosthetics, orthotics, and supplies for Medicare beneficiaries impacted by hurricanes

While ResMed has taken reasonable precautions to ensure the accuracy of the materials presented on these web pages as of the date of publication, ResMed does not guarantee the accuracy of these materials. Each reader assumes responsibility for verifying that the information is both current and accurate. Before filing any claims, it is the provider’s sole responsibility to verify current requirements and policies with the payer. ResMed strongly recommends that providers contact their individual insurance and Medicare carriers to confirm the accuracy of the information presented.

Medicare audit checklists

Audit checklist for PAP

Audit checklist for oxygen

Quick reference audit checklist for common DME items