AdministrativeCommercialOctober 12, 2018

Update to Durable Medical Equipment – effective October 14, 2018

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Effective October 14, 2018, Empire will enforce the requirement to bill the correct modifier and HCPCS for services utilized.  Incorrect billing will be rejected and claims will be returned to the provider for correction and resubmittal.

 

Durable Medical Equipment (DME) may be purchased, rented or rented until the purchase price has been paid. 

 

Correct billing will allow member benefits to be applied correctly to include benefit accumulations for a member’s DME benefits.DME

PUBLICATIONS: October 2018 Empire Provider Newsletter