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Home Infusion Therapy Module Program




NHIA's Medicare Billing for Denial Reference Tool
NHIA's Medicare Billing for Denial Reference Tool Quantity in Basket: None
Code: I-MBD
Member Price: $299.00
Non-Member Price: $450.00

This electronic resource provides 11 very useful, detailed examples of typical DME MAC/DMERC claims that would be billed for denial. Coding requirements and expected denial code results from the DME MAC/DMERC are also included.

Examples are provided for:

  • Infusion drug therapy via gravity.
  • Infusion drug therapy via DME pump for non-covered drug
  • Total Parenteral Nutrition and Enteral therapies (5 examples) IVIG infusion (4 examples with different coverage scenarios)
  • IVIG Infusion Therapy (4 examples with different coverage scenarios)

Other content includes general guidance from NHIA and instructions from the Centers for Medicare & Medicaid Services and the DME MAC/DMERCs.

In addition, NHIA will provide regular updates to the booklet via a web link as they are made available.

Click here to view the introduction to this reference tool.

Corporate and corporate provider members are eligible for volume discounts — contact the NHIA office for details.

The product is provided electronically in Adobe® pdf file format. Your purchase provides you with the right to use multiple copies within a single location, from where you may also include content from template letters found in the tool with your submissions of claims to secondary health plans.

For use in multiple locations contact the NHIA office at 703-549-3740 for volume discounts.

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