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Thank you for visiting our site to learn more about DME/HME orders!
We currently only bill for the following items listed below:
Manual Wheelchairs, Motorized Wheelchairs, Back & Knee Supports, Incontinence Supplies
(Medicare or NC Medicaid Must Be Primary Insurance)
We do not currently accept any Medicare Advantage Plans
**We are in-network providers for regular Medicare, NC Medicaid, and NC BCBS**
Please note: for all items below the patient must have a face-to-face encounter with their treating practitioner documenting the medical necessity for the item(s) being prescribed. The medical necessity must meet the coverage criteria outlined within the respective medical policy/local coverage determination (LCD). In addition, the standard written order (SWO) is required before delivery and must be completed within six months after the required F2F encounter. The Standard Documentation Requirements Policy includes the above details.
MANUAL WHEELCHAIR ORDER PROCESS
(HCPCS Codes K0001-K0007)
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STEP 1 - SCHEDULE A FACE-TO-FACE OFFICE VISIT WITH THE PATIENT- REFERENCE GUIDE
STEP 2 - ORDERING PHYSICIAN COMPLETES THE STANDARD WRITTEN ORDER (SWO)
STEP 3 - FAX SWO AND CHART NOTES FROM PATIENT'S FACE-TO-FACE MOBILITY EXAM TO 704-821-7777 (email orders to info@mobility-more.com)
(If NC Medicaid is the primary insurance we will also need the NC Medicaid CMN/PA completed form, signed by ordering physician, and faxed to 704-821-7777 along with the SWO and chart notes from the patient's face-to-face)
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What is the Medicare reimbursement criteria for manual wheelchairs?
If you can’t use a cane or walker safely, but you have enough upper body strength or have someone who is available to help, you may qualify for a manual wheelchair. There has to be an established need for a wheelchair within the walls of the patient's home. Manual Wheelchairs are usually billed through Medicare as a 13 month capped rental.
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Manual Wheelchair Bases - Policy Article
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52497&ContrID=140
MOTORIZED WHEELCHAIR ORDER PROCESS
(HCPCS Codes K0821-K0827)
STEP 1 - SCHEDULE A FACE-TO-FACE OFFICE VISIT WITH THE PATIENT - Ordering Physician Letter & Checklist
STEP 2 - ORDERING PHYSICIAN COMPLETES THE STANDARD WRITTEN ORDER (SWO) (ORDER MUST BE COMPLETED IN SAME HANDWRITING)
STEP 3 - FAX THE SWO AND THE CHART NOTES FROM FACE-TO-FACE OFFICE EXAM TO 704-821-7777 (email orders to info@mobility-more.com)
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(If NC Medicaid is the primary insurance we will also need the NC Medicaid CMN/PA completed form, signed by ordering physician, and faxed back along with the SWO and chart notes from the patient's face-to-face)
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What is the reimbursement criteria for Motorized Wheelchairs?
If you are not able to use a manual wheelchair in your home, and if you don’t qualify for a mobility scooter because you aren’t strong enough to sit up or to work the scooter controls safely, you may qualify for a motorized wheelchair. You must have a medical need in your home for Medicare and most insurance companies to cover a motorized wheelchair or mobility scooter. Medicare and most insurance companies will not cover equipment if used mainly for leisure or recreational activities, or if it is only needed to move around outside of the home.
MOBILITY SCOOTER (POV) ORDER PROCESS (As of August 1, 2023 we only bill Mobility Scooters through NC Medicaid)
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STEP 1 - SCHEDULE A FACE-TO-FACE OFFICE VISIT WITH THE PATIENT - Ordering Physician Letter & Checklist
STEP 2 - ORDERING PHYSICIAN COMPLETES THE STANDARD WRITTEN ORDER (SWO) (ORDER MUST BE COMPLETED IN SAME HANDWRITING)
STEP 3 - SEND THE SWO AND CHART NOTES FROM PATIENT'S FACE-TO-FACE EXAM TO INSURANCE PROVIDER
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(If NC Medicaid is the primary insurance we will also need the NC Medicaid CMN/PA form completed, signed by the ordering physician, and faxed to 704-821-7777 along with the SWO and chart notes from the patient's face-to-face)
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What is the reimbursement criteria for Mobility Scooters?
If you can’t use a cane or walker, and can’t operate a manual wheelchair, you may qualify for a mobility scooter. You must have a medical need in your home for most insurance companies to cover a mobility scooter. Medicare and most insurance companies will not cover equipment if used mainly for leisure or recreational activities, or if it is only needed to move around outside of the home.
***We do not accept assignments for a Liftchair Mechanism***
LIFTCHAIR MECHANISM ORDER PROCESS (The patient may receive partial reimbursement after Medicare/Insurance approval) (ALL liftchairs are paid for upfront) Patient is responsible for contacting their insurance company about any reimbursement.
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STEP 1 - SCHEDULE A FACE-TO-FACE OFFICE VISIT WITH THE PATIENT- REFERENCE GUIDE
STEP 2 - ORDERING PHYSICIAN COMPLETES THE STANDARD WRITTEN ORDER (SWO)
STEP 3 - SEND THE SWO AND CHART NOTES FROM PATIENT'S
FACE-TO-FACE EXAM TO INSURANCE PROVIDER
BACK BRACE SUPPORT ORDER PROCESS
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STEP 1 - SCHEDULE A FACE-TO-FACE OFFICE VISIT WITH THE PATIENT- REFERENCE GUIDE
STEP 2 - ORDERING PHYSICIAN COMPLETES THE STANDARD WRITTEN ORDER (SWO)
STEP 3 - FAX SWO, AND CHART NOTES FROM PATIENT'S FACE-TO-FACE EXAM TO 704-821-7777 (email orders to info@mobility-more.com)
INCONTINENCE SUPPLIES - (adult briefs, pull-ups, underpads, gloves, catheters, etc.) Billed through NC Medicaid only​
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STEP 1 - SWO/Order For Incontinence Supplies (Urological Supplies Order Click Here)
STEP 2 - NC Medicaid CMN/PA
STEP 3 - FAX SWO, CMN, AND CHART NOTES EXPLAINING MEDICAL NECESSITY TO 704-821-7777 (email orders to info@mobility-more.com)
FOR ALL OTHER DME ORDER REQUEST COMPLETE THE GENERAL DME SWO AND FAX TO 704-821-7777 ALONG WITH CHART NOTES FROM FACE-TO-FACE VISIT WITH PATIENT
(Email orders to info@mobility-more.com)
Standard Documentation Requirements for All
Claims Submitted to DME MACs
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55426
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Mobility & More is now using DME Scripts for our DME orders
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Physician/Providers Enroll Here - It's Easy and FREE!
*link for DMEscripts enrollment
https://dmescripts.com/for-providers/
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Mobility & More is happy to announce that we are now using DMEscripts for ordering of any DME.
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Clinics/Physicians
Complete orders in minutes!
DMEscripts helps you create and submit orders so you can avoid extra rework and focus on treating your patients.
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Reduce rework and resubmissions.
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Generate and sign prescriptions.
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Eliminate back-and-forth with DME suppliers.
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Track orders to completion.
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NO FEE
Hospitals
Discharge patients faster!
DMEscripts simplifies the equipment ordering process so care teams can speed up discharge and ensure patients receive the equipment they need to be healthy, safe, and satisfied.
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Pre-qualify patients for equipment.
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Track orders from submission to delivery.
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Integrate DMEscripts with your EHR system.
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NO FEE
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Long-Term Post-Acute Care Providers
Ensure patients get what they need, when they need it!
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Easily confirm Medicare/Medicaid qualifications.
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Reduce rework and resubmissions.
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Increase insurance acceptance rates.
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Track equipment orders from submission to delivery.
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NO FEE
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Enroll Here - It's Easy and FREE!
*link for DMEscripts enrollment
https://dmescripts.com/for-providers/
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Why use DMEscripts?
DMEscripts recognizes that the current DME ordering process relies heavily on fax communication and/or multiple calls with the DME company. These processes can be cumbersome, frustrating, and frankly quite inefficient for both the clinic and patient resulting in substantial equipment delivery delays.
*The system is setup to ask specific questions based on product type and insurance payor to ensure the orders are pre-qualified prior to submission. 96.2% of DMEscripts orders are accepted on the first pass!
*With DMEscripts, we can take away the faxing and multiple calls and replace it with a simple and safe electronic platform to create, transmit and track DME orders. Our platform also offers an instant messaging feature that allows the DME supplier and the healthcare providers to collaborate virtually.
*In a recent case study with Dignity Health System in California, it showed that using DMEscripts for their order processing reduced the time it took to get a device to their patients’ home by almost 80%.
Spend more time caring for patients and less time faxing orders.
DMEscripts guides you through an easy step-by-step process to create complete and accurate medical equipment orders in minutes, not days.
<90% of DMEscripts orders are accepted on the first pass.
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Physician/Providers Enroll Here - It's Easy and FREE!
*link for DMEscripts enrollment
https://dmescripts.com/for-providers/