LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone: 305.436.5030
Fax: 305.436.0086
E-mail Address: info {at] LEEDerGroup [dot] com

2015-03 Billing Reminder: Supplies Provided On a Periodic Basis





NHIC, Corp.
DME MAC A ListServe
For Immediate Release
March 19, 2015

Billing Reminder: Supplies Provided On a Periodic Basis

For supplies that are provided on a recurring basis, including ostomy and urological supplies, the general rule is that suppliers may dispense no more than a three (3) month supply at any one time. However, for refills of surgical dressings, enteral and parenteral nutrients and supplies, immunosuppressive drugs, oral anti-cancer drugs, intravenous immune globulin, and oral antiemetic drugs, only a one (1) month quantity of supplies may be dispensed at a time.
For items which are dispensed for greater than a one (1) month supply at a time; suppliers are reminded to include information in the narrative field to indicate “2 month supply” or “3 month supply.” Additionally, if a beneficiary is changing from a one (1) month supply to a three (3) month supply or a similar scenario; suppliers should include a notation indicating this change such as “Change from 1 month to 3 month supply.” Inclusion of this additional information in the claim narrative will ensure appropriate payments and avoid unnecessary appeals.
This information must be entered in the narrative field of an electronic claim (NTE 2300 or NTE 2400 of an electronic claim) or Item 19 of a paper claim.