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e.

Practicing CPed

New to site and interested in feedback on state by state regulations on DME billing for TS benefits. Know most states allow DPM practices to service Medicare diabetic shoe patients and bill with the PCP certification of qualifying condition.

1. What are the rules for private insurance billing by a DPM practice for the diabetic shoe patients.

2. Does Blue Cross, Aetna other private insurers allow self referral if a participating practice?

3. I practice in Philadelphia, PA area and DPM can only provide the TS benefit to Medicare patients.

4. Does Florida have - Only Medicare rule?

5. Is the self referral issue by the private insurers goverened by the state or the Inurers by region?

Think all will agree the Inurance plsans and coverage is getting more complicated and confusing as reimbursment goes down.

 

Hello jfdiarco & :welcome: to Podiatry Arena.

You may receive more replies to your question if you repost in the USA forum. Not all members check the introductions.

Kind regards,

Mandy.