Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.1.5

Assigned Claims Denied on the Basis of Failure of the Supplier

Last amended: 2003Year: 2003Length: 165 wordsOfficial source
150.1.5 - Assigned Claims Denied on the Basis of Failure of the Supplier to Meet Supplier Number Requirements (Rev. 1, 10-01-03) For assigned claims denied on the basis of failure of the supplier to meet supplier number requirements under §1834(j)(1) of the Act, the term “medical equipment and supplies” means: • Durable medical equipment, as defined in §1861(n) of the Act; • Prosthetic devices, as described in §1861(s)(8) of the Act; • Orthotics and prosthetics, as described in §1861(s)(9) of the Act; • Surgical dressings, as described in §1861(s)(5) of the Act; • Home dialysis supplies and equipment, as described in 1861(s)(2)(F) of the Act; • Immunosuppressive drugs, as described in 1861(s)(2)(J) of the Act; • Therapeutic shoes for diabetics, as described in 1861(s)(12) of the Act; • Oral drugs prescribed for use as an anticancer therapeutic agent, as described in 1861(s)(2)(Q) of the Act; • Self-administered erythropoietin, as described in 1861(s)(2)(P) of the Act; and • Such other items as the Secretary may determine.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.1.5: Assigned Claims Denied on the Basis of Failure of the Supplier | Justis AI