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Medicine is a field which as a branch of science is constantly progressing. Reaching new heights every day, this is a field which requires equal amount of progress in both theoretical and practical aspects and with advancement in both the demand for innovative modern equipment is increasing day by day. Medical equipment like operating table, oxygen tanks and surgical tools refer to all the equipment required and used by the medical practitioners and healthcare professionals.youtube.com However, besides the general medical equipment there is also another category of other medical equipment.discountmedicalsupplies.com These other medical equipment like dermatological laser equipment, optometry equipment might be as significant and necessary like the general medical equipment but by no means are they cheap. Therefore medical equipment financing has become very necessary without which the health care professionals and general practitioners can’t think of using those instruments.


Companies adept at financing and commercial leasing of these medical equipment are growing at a fast pace. Especially, in the past few years there has been extensive development in this field. You can get lease on medical devices for both short and long term depending on the company you choose to deal with. A hospital bed, an operating table (or the lights above it), a surgeon’s tools, oxygen tanks, all these can be encompassed in the general medical equipment. A necessity in the medical world, all the commonplace items required by the medical faculty have efficiency along with cost attached to their names and that is why, financing of medical equipment is a necessity for the medical staff.


One of the great things about leasing is the way it conserves the working capital. While you may go heavy on the initial and final payment, the profit generating activities and investments remain unhindered with you having to pay minimum amount of cash. Bank line of credit is saved since leasing prevents a bank line of credit in preparing you for possible business opportunities and also any kind of urgent investment if required. The new tax benefits ensure profitability with the utilization of the equipment rather than ownership of it. The depreciation offers no advantages to ownership as compared to leasing with the new tax laws giving more benefits to the latter. The best part is that complete 100% financing is done through leasing. And leasing includes consulting, maintenance, freight, installation and training costs. You can simply do away with the obsolete and outdated old equipment because leasing ensures regular upgradation and replacement of old equipment. Flexibility is indeed one of leasing’s greater advantages and it never lets you sit complacent with the old equipment. These methods are the most dependable. Thanks to the rising costs, it’s unaffordable for the doctors and medical professionals to purchase them personally .There are financial companies that will render you immediate finance and legal aid with the kind of understanding they have of your need.


These are required steps for new items to be added to the DME fee schedule allowing for public comment. The Department is responsible for preparing a written response within a reasonable time period to inform all applicable parties of the decision. The process could take up to six months. The Department provides quarterly progress reports to the DME workgroup. When billing Medicaid, it is important to use the Department’s fee schedule for your provider type in conjunction with the detailed coding descriptions listed in the current CPT and HCPCS coding books. In addition to covered services and payment rates, fee schedules often contain helpful information such as appropriate modifiers.


Fee schedules are available on the Provider Information website. Place of service must be entered correctly on each line. Medicaid typically reduces payment for services provided in hospitals and ambulatory surgical centers since these facilities typically bill Medicaid separately for facility charges. Payment includes the entire initial month of rental even if actual days of use are less than the full month. Payment for second or subsequent months is allowed only if the item is used at least 15 days in such months. Although providers do not need the information in this chapter in order to submit claims to Montana Medicaid, the information allows providers to understand how payment is calculated and to predict approximate payment for particular claims.


Providers should bill Medicaid their usual and customary charge for each service; that is, the same charge that is made to other payers for that service. The amount of the provider’s usual and customary charge may not exceed the reasonable charge usually and customarily charged by the provider to all payers. For DMEPOS providers, a charge is considered reasonable if it is less than or equal to the manufacturer’s suggested list price. For items without a manufacture’s suggested list price, the charge is considered reasonable if the provider’s acquisition cost from the manufacturer is at least 50% of the charge amount.


Payment for DMEPOS is equal to the lowest of either the provider’s usual and customary charge for the item or the Medicaid fee schedule amount in effect for the date of service. Medicaid payment is equal to 100% of Medicare Region D fee schedule for current procedure codes where a Medicare fee is available, How About Other Medical Equipment Financing? less applicable cost sharing, incurment and/or other applicable fees.youtube.com Generic or miscellaneous procedure codes are excluded from the Medicare fee schedule. Payment for such excluded procedure codes is 75% of the provider’s submitted charge. For all other procedure codes where no Medicare fee is available, payment is 75% of the submitted charge.


If the purchase of a rental item is cost effective in relation to the members need of the item, the purchase may be negotiated. The purchase price would be the amount indicated on the applicable fee schedule, less previous payments made to the provider of the item. Total Medicaid rental reimbursement for items listed in Medicare’s capped rental program or classified by Medicare as routine and inexpensive rental is limited to the purchase price for that item. Monthly rental fees are limited to 10% of the purchase for the item, limited to 13 monthly payments. Interruptions in the rental period of less than 60 days do not result in the start of a new 13-month period or new purchase price limit, but periods during which service is interrupted will not count toward the 13-month limit.


4.00 per visit. The member’s cost sharing amount is shown on the remittance advice and deducted from the Medicaid allowed amount. When a member has coverage from both Medicaid and another insurance company, the other insurance company is often referred to as third party liability or TPL. In these cases, the other insurance is the primary payer (as described in the Member Eligibility and Responsibilities chapter of the General Information for Providers manual), and Medicaid makes a payment as the secondary payer. When a member has coverage from both Medicaid and Medicare, Medicare is the primary payer as described in the Member Eligibility and Responsibilities chapter of the General Information for Providers manual. Medicaid then makes a payment as the secondary payer.


See the Forms page of the Provider Information website for the forms listed below.youtube.com Previous editions of this manual contained an index. This edition has three search options. Search the whole manual. Open the Complete Manual pane. From your keyboard press the Ctrl and F keys at the same time. A search box will appear. Type in a descriptive or key word (for example "Denials". The search box will show all locations where denials discussed in the manual. Search by Chapter. Open any Chapter tab (for example the "Billing Procedures" tab). From your keyboard press the Ctrl and F keys at the same time. A search box will appear. Type in a descriptive or key word (for example "Denials". The search box will show where denials discussed in just that chapter. Site Search. Search the manual as well as other documents related to a particular search term on the Montana Healthcare Programs Site Specific Search page.


For several days, Delphine Twese Hamwe’s 2-year-old daughter Ghislane had been screeching in pain as fever wracked her tiny body. A nurse at the local clinic in central Rwanda told her that an acute form of malaria was attacking her daughter’s red blood cells. There was nothing the clinic could do to save her life, so they called an ambulance.theemsstore.com But by the time mother and child arrived at the district hospital in Kabgayi, Ghislane had stopped moving. "We arrived too late," Hamwe says. "There was no sign of life. I thought she was dead." The nurses offered a blood transfusion as a last resort. Hamwe, numb and distracted, agreed.


She was already on her phone, messaging the bad news to family back in the village. Normally, he would have dispatched a car and driver to the central blood bank in the capital, Kigali, a three-hour round-trip. But the urgency of the case forced him to try something new. His phone flashed a confirmation message: the blood was on its way, with an estimated delivery time of just six minutes. Before long the high-pitched whine of a drone could be heard circling the hospital grounds. As it passed over the lab’s parking lot, it released a red cardboard box attached to a paper parachute.


Inside the box were two packets of blood, wrapped in insulating paper and still chilled from refrigeration. A nurse rushed the blood over to the emergency wing, and within minutes it was pumped into Ghislane’s limp body through an IV. The child opened her eyes.youtube.com It was Dec. 21, 2016, and she had just become the first person in the world who owed her life to a drone delivery. In March 2016, Zipline, a U.S.discountmedicalsupplies.com Rwandan government to launch the world’s first commercial drone delivery service, ferrying vital medical supplies to far-flung hospitals by air. "Before, it took at least three hours to get blood in an emergency," says Dr. Roger Nyonzima, head surgeon at Nyanza Hospital’s maternity ward, which is about 60 miles from Kigali. "Three hours can make the difference between saving or losing a life.


Now we get blood in 15 minutes. The success of Zipline in Rwanda has inspired the company to grow. Zipline is now expanding into neighboring Tanzania, with plans to launch the world’s most extensive drone delivery service providing blood-transfusion supplies, emergency vaccines, HIV medications, anti-malarials and basic surgical supplies to more than 1,000 health facilities. A Latin America launch is in the works as well, says Zipline co-founder Keller Rinaudo. Zipline is not alone in the medical-supplies-by-drone sector. Swiss cities this year. But Matternet’s small quad-copters can cover only short distances. Several other startups are exploring drone delivery of blood samples for disease tests, defibrillators and even condoms in the U.S.


The inspiration to form Zipline came from a list of lives lost in rural parts of Africa due to a shortage of essential medicines. Robotics expert Rinaudo and aviation consultant Will Hetzler, former roommates at Harvard, met a computer programmer and public-health researcher, Zacharia Mtema, in Tanzania. "It was essentially a database of death," says Rinaudo, who recalls scrolling through thousands of heartbreaking entries. To him and Hetzler, drone deliveries seemed like an obvious solution. On any given day, scores of drones launch and land at Zipline’s Rwanda headquarters, a former cornfield in the city of Muhanga, about an hour’s drive from Kigali.


The steady rhythm of packing, launching, collecting and charging the drones belies the groundbreaking technological advances in robotics, autonomous navigation and aerospace management that underpin the business. That’s the way the founders want it. "Zipline isn’t a drone company," says Rinaudo. The design of their electric aircraft, called Zips, diverges wildly from the quad-copters that are currently being used by most drone companies. Instead, they look like small propeller airplanes, enabling them to fly faster and longer—100 miles—on a single charge, in any weather short of a hurricane. The Zips navigate to their pre-programmed destinations using GPS and drop their payloads via parachute, instead of landing, to minimize the number of people who need to be trained on how to interact with a drone. All the hospitals need is someone who can send an order and pick up the box when it lands.


Once an order arrives in Zipline’s computer database, blood-bank technicians pull the required stock from state-of-the-art blood-storage facilities and pack it into sturdy cardboard boxes that are already fitted with parachutes. The drones can carry up to 3.9 lb. Drone operators load the boxes into Zips, which can reach more than half of all Rwandan territory. A second facility that will cover the rest of the country is under construction. The operator loads the Zip onto a catapult-type launch mechanism and enters the destination on a tablet, and with a high-pitched whine, the Zip is airborne. The whole process takes about a minute from order to launch. Once the Zip nears its destination, it sends an automated text message to the hospital, announcing the exact arrival time. Then it swoops down toward the designated landing zone, drops its payload and circles back toward home base. Blood and medical-supply shortages affect rural hospitals in the U.S. Rwanda, and Zipline, after an invitation from the White House in 2016, is now working with the U.S. Federal Aviation Administration to launch a similar service in parts of the U.S.


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