Hello, well the answer to your question is, medicare will not repair or replace parts on a pmd that was not issued originally from the dme co. I just came back from a seminar spring 2010,noridian admin. Services,the only way they will pay for the services is if we have original documentation on file from the prescribing doctor. Which means, that if beneficiary had the pmd delivered to the door like dme companies have been doing in the valley,los angeles area and it turns out to be fraud,the beneficiary will have a pmd sitting at home with no repairs,unless they pay privately. Not much, we can do there......i mean i tried taking repairs on assignment and auctually tried contacting the dme provider for copies of paperwork,explained to them that the beneficiary did not have means of transportation,and we are closer so we would be able to repair pmd,well they just denied request and did not provide me with documents,even though the beneficiary requested them as well. So, you see it will be time consuming and at the end of the day all the time and effort is not worth it,being that medicare lowers and lowers the allowables every year. Hope this helps.
|