ANS includes artificial limbs, braces, medications and so on.
5. DMEPOS dealers
ANS supply patient with DME
DMEPOS claims are submitted to DME Medicare administrative contractors (DMEMACs)
each DME MAC covers a specific geographical region of the country and is respon-sible for
processing DMEPOS claims for its specific region
6. MAC
ANS Medicare Administrative Contractor
7. When appropriate HCPCS level II code exists, it is often assigned instead ofCPt code
(with same or similar code description) for
ANS Medicare Accounts some State Medicaid system
8. CMS creates Hcpcs level II code
ANS for services and procedures that will probablynever be assigned a CPT code.
to determine volume and codes of newly implemented technologies.
9. New Hcpcs level II codes are reported for several years until
ANS CMS initiatesa process to create corresponding CPT codes
10. When new CPT codes are published
ANS they are reported instead of the originalHCPCS level II codes
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