DME QUALIFICATION

PATIENT MUST BE 85 BELOW (1938)

GOOD STATES
AK NE
AZ NH
CA NJ GOOD FOR BB, BKB, BWB AND NB
DE NY
ID OH GOOD FOR BB, BKB, BWB AND NB
IL GOOD FOR BB, BKB, BWB AND NB OR
IN PA
IA RI
KS SD
KY GOOD FOR BB. BKB AND BWB UT
MD CANNOT PROCESS FOR BHB VT
MA WA
MI DC
MN WI
MO WY
MT

BAD STATES
AL NV
AR NM
CO NC
CT ND
FL OK
GA SC
HI TN
LA TX
ME VA
MS WV

BRACE COMBINATION
GOOD BRACE COMBO BAD BRACE COMBO
BACK ALONE WRIST AND ANKLE BRACE
BACK AND OTHER BRACES SHOULDER BRACE ALONE
BOTH KNEE BRACE WRIST BRACE ALONE
BOTH KNEE AND OTHER BRACES ANKLE BRACE ALONE
SHOULDER AND OTHER BRACES SINGLE KNEE BRACE ALONE
BOTH HIP BRACE ALONE NECK BRACE ALONE
HIP BRACE AND OTHER BRACES SINGLE HIP BRACE ALONE
REMINDERS:
- WE CAN’T PROCESS PATIENT THAT HAS AUTHORIZED PERSON.
- DON'T INTRODUCE YOURSELF FROM MEDICARE OR AFFILIATED OF ANY SORT WITH MEDICARE.
- DON’T SAY IT’S FOR FREE.
- DON'T SAY MEDICARE WANTS THEM TO HAVE IT.
- DON'T SAY THE DOCTOR WANTS TO THEM HAVE IT.

- WE ONLY ACCEPT NEW MEDICARE POLICY NUMBER

- WE WON’T BE ACCEPTING OLD MEDICARE POLICY NUMBER ANYMORE

- WE CAN’T PROCESS PATIENT THAT HAS CANCER, DEMENTIA OR ANY ILLNESS IN THE BRAIN
- WE CAN’T PROCESS KNEE BRACE FOR THOSE PATIENT THAT HAD KNEE REPLACEMENT
- WE CAN’T PROCESS BACK BRACE FOR THOSE PATIENT THAT HAD HIP REPLACEMENT
- WE CAN’T PROCESS SHOULDER BRACE FOR THOSE PATIENT THAT HAD SHOULDER REPLACEMENT
- WE CAN’T PROCESS PATIENT LIVING IN ASSISTED LIVING, HOSPICE, NURSING HOME AND MOBILE
HOME

KINDLY TAKE NOTE OF THIS:

INSURANCE/S: MEDICARE PART B MUST BE ACTIVE
- NO LIABILITY INSURANCE
- NO AUTO INSURANCE
- NO INDEMNITY
- NO WORKERS COMPENSATION
- NO HOSPICE
- NO MEDICAID
-
WE CAN PROCESS HCF/ SKILLED NURSING DATE (MUST BE LIVING INDEPENDENT, NOT VISITED BY A
NURSE OR DOCTOR)
WE CAN PROCESS DIFFERENT STATES AS LONG AS BOTH ARE GOOD STATES.

NOT ALLOWED
- Not allowed to barge the phone call, need to leave the conference after transferring.
(REASON: it may cause static on the other line.)
- You are not allowed to interrupt while on process.
(if you interrupt the call we will not continue the process.)
- Use your respective webform.
- You are not allowed to promise anything aside from the braces
(If you will continue promising something aside from the braces that may affect the result of your leads.)
- If the pt confirmed on the first transfer that she/he was diagnosed with DEMENTIA you're not allowed to re
transfer it again.
- If the pt already tagged as S&S FAILED, NOT INTERESTED, CANNOT PROCESS you're not allowed to re
transfer it again, if you're going to transfer it again, we will not accept it.