Frequently Asked Questions
What KCI heavy duty beds are reimbursed by Medicare ?
The following KCI heavy-duty bed is Medicare reimburseable:
Maxxis® 400 – Medicare Coverage Code K0550
What are the Medicare reimbursement amounts for KCI's Maxxis® 400 in my area?
Please download the attached Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule issued by the Centers for Medicare & Medicaid Services (CMS). Locate the appropriate Medicare Coverage Code and state to find the corresponding reimbursement amount.
Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule
Medicare requires a Certificate of Medical Necessity (CMN), which has been completed, signed and dated by the treating physician. It must be kept on file by the supplier and made available to the DMERC on request. The CMN may act as a substitute for a written order if it contains all of the required elements of an order.
Where can I locate a Certificate of Medical Necessity (CMN) for Heavy Duty Beds?
Please click the corresponding link to download a copy of Certificate of Medical Necessity for heavy-duty beds.
Where can I locate more information on the Medicare coverage policy for heavy duty beds?
For more detailed information on the Medicare coverage policy for heavy duty beds please click the link listed below:
Medicare Coverage Information for Heavy Duty Beds
What is the KCI policy related to modification of managed care/private insurance claims for KCI products and services?
KCI has established a policy related to modification of managed care/private insurance claims for KCI products and services. Please click Claims Modification Policy to see the policy.
This summary is not intended to be all-inclusive and should not be relied on for final coverage determinations. Specific DMERC, Medicaid or Health Plan coverage policies should be reviewed prior to making any coverage determinations. Additional criteria may be required for coverage of eligible patients depending on individual circumstances. The information contained in this website is provided for informational purposes only and represents no statement, promise or guarantee by KCI concerning the levels of reimbursement, payment, calculations, eligibility, charge or that these policies and codes will be appropriate for specific services or products provided or that reimbursement will be made. Information is current as of the date of publication and is subject to change at anytime. KCI recommends that you consult your local CMS contracted carrier, Medicaid carrier or other applicable payor organization with regard to specific reimbursement policies, coverage, documentation, payment and criteria. Individual circumstances and situations may vary.
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