Medical billing of DMEPOS claims is difficult enough under the best circumstances. With all the different items that can be billed and the various requirements for each of them, difficult becomes an exercise in near futility. In this installment, we continue our review with one of the most massive CMNs in electronic transmission of claims. We’ll cover the GU0 record continuing with field number 26. This is where things get so complicated the each field becomes more and more difficult just to explain.

GU0 field 26, position 112, is Reply ALN L01 N01. This is the first of many fields that refer back to a specific question on a specific CMN, kind of like a mapped grid. Because there are so many CMNs and this GUO record has to accommodate all of them that apply, these fields are given generic descriptions that refer back to a specific form location as described in the manual. This particular field refers back to the first question on any DMERC certification requiring a one position response. The forms supported by this field are generic certifications, lymphedema pumps and Osteogenesis stimulators. The form numbers are 01, 02, 04, 06, 07, 08, 09 and 10. The questions supported for the various forms are 1, 4, 6 and 7. The valid responses are Y, N or D. Refer to your manual for the specific form names and questions.

GU0 field 27, position 113, is Reply ALN L01 N02. This is the response to the second question on any DMERC certification requiring a one position response. The forms supported are 02, 04, 06 and 07 for responses Y, N or D. The form supported for only responses Y or N is 08. Forms 01, 03, 05, 09 and 10 are reserved for future use. These forms also cover generic CMNs, lymphedema pumps and osteogenesis stimulators.

GU0 field 28, position 114, is Reply ALN L01 N03. This is the response to the third question on any DMERC certification requiring a one position response. The forms supported are 01, 02, 04 and 07 for responses Y, N or D. For form 06, the valid responses are 1, 2, 3, 4, or 5. Forms 03 and 09 are reserved for future use. The valid responses for form 10 is 1, 3 or 7. These forms also cover generic CMNs, lymphedema pumps and osteogenesis stimulators.

GU0 field 29, position 115, is Reply ALN L01 N04. This is the response to the fourth question on any DMERC certification requiring a one position response. The forms supported are 01, 02, 04, 06 and 07 for responses Y, N or D. Forms 03, 09 and 10 are reserved for future use. These forms also cover generic CMNs, lymphedema pumps and osteogenesis stimulators.

GU0 field 30, position 116, is Reply ALN L01 N05. This is the response to the fifth question on any DMERC certification requiring a one position response. The forms supported are 01, 02, 04, 06 and 07 for responses Y, N or D. For form 10, the valid response is either Y or N. Forms 03 and 09 are reserved for future use. These forms also cover generic CMNs, lymphedema pumps and osteogenesis stimulators.

In our next installment of medical billing, we’ll continue with the GU0 record, picking up with field number 31.

Michael Russell
Your Independent guide to medical-billing.guide-for-you.com/ Medical Billing

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