Foreword

01 - Foreword (Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08) 42 CFR 411.15 and 414 This chapter provides guidance on the Medicare DMEPOS Competitive Bidding Program and general instructions on billing and claims processing for DMEPOS items subject to this program. General instructions on billing and claims processing for DMEPOS items, except as noted in this chapter, are in Chapter 20 of this manual. The payment rules for DMEPOS items specified in Chapter 20 of this manual generally apply to DMEPOS competitively bid items and services unless otherwise noted in this chapter. Coverage requirements in the Medicare Benefit Policy Manual and National Coverage Determinations manual will continue to apply to the Medicare DMEPOS Competitive Bidding Program unless noted otherwise in this chapter. The instructions in this chapter are applicable to items and services subject to the Medicare DMEPOS Competitive Bidding Program unless otherwise noted. They pertain to Medicare contractors, including, but not limited to: Medicare Administrative Contractors (MACs), Program Safeguard Contractors (PSCs), and the DMEPOS Competitive Bidding Implementation Contractor (CBIC). These instructions are also applicable to DMEPOS suppliers.