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GREENVALE PHARMACY & HOMECARE 

DOES NOT BILL ANY INSURANCE

FOR MEDICAL EQUIPTMENT 

Including, but not limited to: 

Canes, Crutches, Walkers, Wheelchairs, 

Power Scooters & Lift Chairs *

Hospital Beds & Accessories

Patient Lifts & Commodes

Braces & Supports


The Following Products are Billable Through Medicare

(Prescription and Additional Documentation Required)



Diabetic Testing Supplies

  • For diabetics, Medicare Part B covers the glucose monitor, lancets, spring-powered lancing devices, test strips, and control solution.
  • Medicare will approve up to: 
  • One test per day for non-insulin-dependent diabetics (100 strips per 90 days)  
  • Three tests per day for insulin-dependent diabetics.   (100 strips per 30 days)

.

      Diabetic Shoes

Medicare Part B covers Diabetic shoes when the patient meets the following criteria

  • The patient has diabetes mellitus: Type II or Type I:
  • The patient has one or more of the following conditions:

* History of partial or complete amputation of the foot.

* History of previous foot ulceration.

* History of pre-ulcerative callus.

* Peripheral neuropathy w/evidence of callus formation.

* Foot deformity.

* Poor circulation:


   

      Ostomy Supplies

Medicare Part B covers ostomy supplies for people who have a surgically created opening, or stoma, to divert urine or stool outside their body. This includes people who have had a colostomy, ileostomy, or urinary ostomy.

                                                                                              

      

     Urological Supplies

  • Medicare Part B  covers urinary catheters and external urinary collection devices to drain or collect urine for a patient who has permanent urinary incontinence or permanent urinary retention. Permanent urinary retention is defined as retention that is not expected to be medically or surgically corrected in that patient within 3 months.


      *Seat Lift Mechanisms    (billed for patient reimbursement only)

  • In order for Medicare Part B to pay for a seat lift mechanism, patients must be suffering from: 
  • severe arthritis of the hip or knee or 
  • severe neuromuscular disease. 
  • In addition, they must be completely incapable of standing up from any chair without assistance, but once standing they can walk either independently or with the aid of a walker or cane. The physician must believe that the mechanism will improve, slow down, or stop the deterioration of the patient's condition.
  • If Medicare has ever supplied a wheelchair, the seat lift mechanism will not be covered  !!
  • Medicare will only pay for the lift mechanism. The actual chair  is not covered, and you will be responsible for paying the full amount for the chair up front and be reimbursed by Medicare for the value of the lift mechanism (approx. $250 - $300).



The Role of Your Physician With Respect to Medical Billing.


  • Every item billed to Medicare requires a physician's order along with additional documentation showing patient medical condition determined at an office visit within the last 90 days.
  • Nurse Practitioners, Physician Assistants, Interns, Residents and Clinical Nurse Specialists can also order medical equipment. The same documentation is required.
  • All physicians have the right to refuse to complete documentation for equipment they did not order, so make sure you consult with your physician before requesting an item from a provider.
  • Any assigned claim must have a prescription and all needed documentation before the item is dispensed.
  • For non-assigned claims, (claims paid up front and then patient is reimbursed by Medicare) prescriptions and documentation can be obtained after dispensing the product so as to bill the claim for patient to be reimbursement


Call us with any questions you may have @ 516-621-2260