Review of Medicare Claims for Home Blood-Glucose Test Strips and Lancets: Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction D

摘要

Pursuant to sections 1832(a)(1), 1861(s)(6), and 1861(n) of the Social Security Act, Medicare Part B covers home blood-glucose test strip and lancet supplies (test strips and lancets) that physicians prescribe for diabetics. The Centers for Medicare & Medicaid Services (CMS) contracts with four durable medical equipment Medicare administrative contractors (DME MAC) to process and pay Medicare Part B claims for test strips and/or lancets. The amount allowed for payment is equal to the lesser of the Medicare fee schedule amount or the amount charged by a DME supplier. Medicare pays the beneficiary or the supplier the amount allowed for payment, less the beneficiary share (i.e., deductibles and coinsurance). The quantity of test strips and lancets that Medicare covers depends on the beneficiary's usual medical needs.