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The Statistical Analysis Durable Medical
Equipment Regional Carrier (SADMERC) is a national entity that
provides services under contract to the Centers for Medicare & Medicaid
Services (CMS). The SADMERC Reports and Analysis Unit provides
data analysis support to the four DMERCs. The SADMERC HCPCS
Unit offers guidance to manufacturers and suppliers on the
proper
use of the HCFA Common Procedure Coding System (HCPCS), the
means by which durable medical equipment, prosthetics, orthotics,
and
supplies (DMEPOS) services are identified for Medicare billing.
Additionally,
the SADMERC performs a variety of national pricing
functions for DMEPOS services,
assists CMS with the DMEPOS Fee Schedules, and analyzes
DMEPOS fees to identify unreasonable or excessive reimbursement
amounts.
Manufacturers and suppliers are instructed by CMS and
through the DMERC supplier manual and advisories to contact
the SADMERC
HCPCS Unit to obtain proper billing codes for DMEPOS
items. In addition to coding assistance, manufacturers and
suppliers may
also obtain Fee Schedule prices. |
