Hello, We are not medicare providers but I told patient I would try to get some benefit for his appliance after speaking to a customer service rep at his particular insurance company who told me out of network providers would be considered for this plan. (No promises made to patient!) Since there is quite a list of PDAC approved appliances I gave my boss the list to pick from for better chances of reimbursement. His question: Once the product has a “Effective End Date” is that product no longer an option? I”m guessing so but wanted to check. List utlized below: https://www4.palmettogba.com/pdac_dmecs/searchProductClassificationResults.do?manufacturer=&codeDecision=E0486&productName=&modelNumber=&classification= Also, when we are not a provider for any Medicare plan do I really need to have all the releases on file (ABN, etc?). I have gone through the Neirmann classes but (to put bluntly) I just dont get how they can require anything from us when we have never agreed to any type of circumstances in the first place? Thanks for the insight! Jill
