Please explain the quantity limit for diapers. Why is DME different from Home Health?
The quantity limit on diapers applies only to diapers provided by and billed by a DME provider. The quantity limit is 192 diapers per month. If the diapers are provided and billed by a home health agency or a case management agency, there is no hard quantity limitation. That is because, in those cases there is a nurse or a case manager justifying the medical necessity of and appropriateness of the supply. In DME, there is no such “gatekeeper,” so instead there is a quantity limitation.
Related Questions
- What documentation is needed to order or certify DME or home health? Are there different documentation requirements for billing for certifying home health?
- Please explain the quantity limit for diapers. Why is DME different from Home Health?
- What makes Montefiore Home Care different from other home health agencies?
