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HME Medical Blog

Home Medical, Explained

  • Medicare Reimbursement and Me: A Guide to Filing for Reimbursement

    How do I know when to file a claim?

    When a provider, such as a medical supply company, does not accept a Medicare assignment you will need to begin the process to file a claim for reimbursement.

    How do I know what will be reimbursed?

    All claim reimbursement is governed by the set standard Medicare reimbursement rates, even if your bill from the provider was more than the approved Medicare amount. Non-participating medical suppliers are not subject to charge limiting but your reimbursement amount will remain the same.

    How do I file a claim?

    Once you’re ready to file your claim to Medicare you will need a few things to make sure that your claim can be processed quickly and you receive the amount of your set standard Medicare reimbursement rate.

    You will need a copy of the Medicare CMS-1490S form (also known as the Patient Request for Medicare Payment form), an itemized bill from your medical supply company, a letter explaining why you are submitting the claim (Medicare not accepted by provider, etc.), and any supporting documentation (such as a prescription, or doctor/physical therapist recommendation form).  HME Medical Shop can provide this letter after your purchase.  Just call or reply back to your confirmation email!

    Do I need to fill out an Authorization to Disclose Personal Health Information?

    This form is only necessary if:

    • Someone is contacting Medicare on your behalf
    • If you are authorizing Medicare to give your personal medical information to someone other than yourself

    How long do I have to file for Medicare Reimbursement?

    You have 12 months from your service date to file for reimbursement on all purchases covered by Medicare claims.

    Once you have all of your information together you will need to submit your claim to the proper Medicare office. They are listed below for your convenience but are also located with the CMS-1490S form.

     

    If you live in: Return your form to:
    Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Noridian Healthcare Solutions P.O. Box 6780 Fargo, ND 58108-6780
    Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, Wisconsin CGS Administrators, LLC P.O. Box 20013 Nashville, TN 37202
    Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, West Virginia CGS Administrators, LLC P.O. Box 20010 Nashville, TN 37202-0010
    Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington, Wyoming Noridian Healthcare Solutions P.O. Box 6727 Fargo, ND 58108-6727
  • How to Assemble the Drive Scout Power Scooter

    Assembling the Scout Power Scooter is a very simple task. It's just as easy to Disassemble for travel or storage. Watch the Video below while a certified Drive Medical technician breaks down the steps for you!

  • How to Test a Power Wheelchair or Scooter Motor

    A)  Set your test meter to the lowest OHMS scale. Verify that the brake is engaged.  Insert the test leads into the top two terminals in the plug. You should be reading the resistance of the brake. It will be between 50 and 85 Ohms.

    testerB) Insert the test leads into the bottom terminals. You will be reading the armature resistance, which is very low, between .8 and 5 Ohms.If you get no reading at all, or a direct short (0 ohms) in either location then it is defective and the motor/brake must be replaced.

  • Fixing Common Problems with Power Hospital Beds

    The Flowchart Below is a Helpful Way to Diagnose Common Issues with Power Hospital Beds.  HME Medical Shop Does offer a full line of Hospital Bed Parts for any that need replacement!

    Common Hospital Bed Issues Hospital Bed Problem Flow Chart
  • Installing Loop Brakes on Drive Medical Walker Rollators

    This Post outlines how to install replacement walker and rollator brakes for Drive Medical Rollators.

    You Will Need:

    Phillips Head Screw Driver, An Allen Wrench, and any type of Plyer.

    1. The old loop brake has to be removed before installing the new one. If both loop brakes have to be replaced, do one at a time. By doing one at a time the one not being changed can be used as a guide. See if there is an end cap on the brake cable by the wheel and Clip off the end cap and Loosen the set screw on the cable fastener to remove the fastener.

    Brake replacement Drive Medical Brake replacement Drive Medical

     

     

     

     

     

     

    2.  Pull the cable through the spring and spring boot.

    Pull Brake Cable Pull Brake Cable

     

     

     

     

     

     

    3.  To remove the loop brake handle, the hand grip has to be removed. You can cut it off or soak it in hot water to remove it.  To Soak and Remove, first remove the handle bar from the unit by removing the height adjustment knob from the unit and lifting the handle bar out.

    Loosen Handlebar to soak brake Loosen Handlebar to Soak Brake

     

     

     

     

     

     

    4.  Soak the handgrip in hot water for 5 to 10 minutes. This will expand the handgrip and break any glue bond. Slide the handgrip off the handle bar.

    Soak the Brake in Hot Water Carefully Soak the Brake in Hot Water

     

     

     

     

     

     

    5.  Next, to remove the old handle, locate the screw or screws that hold the loop brake handle on the handle bar and slide off.

    Unscrew the Handle Unscrew the Handle

     

     

     

     

     

     

    6.  After the old one is removed, slide the new one in place and tighten, then add the hand grip.

    New Handle and Handgrip Slide on the handle and hand-grip

     

     

     

     

     

     

    7.  Using the other loop brake as a guide thread the brake cable to the rear wheel. Insert the brake cable through the spring and spring boot.  Then, slide the cable fastener on the end of the cable.

    New Brake Cable thread the brake cable to the rear wheel

    Cable fastener Slide the cable fastener on the end of the cable.

     

     

     

     

     

     

     

     

     

     

     

     

    8.  Pull up on the brake cable and slide the cable fastener down as far down as it will go. Tighten the cable fastener with an Allen Wrench.

    Brake Cable Install Pull the cable as far as it will go and tighten the cable fastener.

     

     

     

     

     

     

     

     

     

     

    9.  Almost done!  To move the brake pads closer to the wheel, there are 2 options (see below).  If a solid contact with the wheel cannot be achieved with both of these adjustment nuts, turn both adjustment nuts clockwise until they stop. Repeat the previous step to take up any slack in the cable. Make sure that the cable fastener is down as far as it will go.

    That's it, let us know if you have any questions!

    adjustment to the cable turning the nut counterclockwise the brake contact will move closer to the wheel.

     

    Brake Contact Turning this cable adjuster counterclockwise will also move the brake contact closer to the wheel

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