Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.10
Claims Submitted for Hospitals Who Furnish Competitively Bid Items
50.10 - Claims Submitted for Hospitals Who Furnish Competitively Bid Items
(Rev. 2231, Issued: 05-27-11, Effective: 08-28-11, Implementation: 08-28-11)
Under DMEPOS Competitive Bidding, hospitals may furnish certain types of competitively bid
DME to their patients on the date of discharge without submitting a bid and being awarded a
contract. The DME items that a hospital may furnish as part of the exception are limited to:
crutches, canes, walkers, folding manual wheelchairs, blood glucose monitors, and infusion
pumps. Payment for items furnished under this exception will be made based on the single
payment amount for the item for the CBA where the beneficiary resides. Separate payment is
not made for walkers and related accessories furnished by a hospital on the date of admission
because payment for these items is included in the Part A payment for inpatient facility services.
Refer to Pub. 100-04, the Medicare Claims Processing Manual, Chapter 1, 10.1.1.1 for
instructions for submitting claims.