What Medicare and Insurance Require

Medicare

  • Confirmed benefit coverage
  • Documentation to ReBuilder-DME
  • Trial use of the ReBuilder for 30 – 60 days
  • Re-evaluation visit to the doctor 30 – 45 days after receipt and the beginning of the use of the ReBuilder
  • Re-evaluation documentation to RBM-DME

Insurance

  • Confirmed benefits coverage
  • Documentation of need to ReBuilder-DME
  • The need for a trial use is dependent on Insurance Plan
  • The need for a re-evaluation is dependent on Insurance Plan

What the Requirements Mean

  • Documents to ReBuilder-DME
    • Medicare and Insurance Card copies (front and back)
    • Prescription
    • Medical record notes from last 6 months related to the condition the ReBuilder will treat
  • Delivery of ReBuilder product (s)
    • Sign and return
      • Proof of Delivery
      • Privacy Policy
    • Begin ReBuilder sessions as instructions describe
    • Document sessions in Treatment Record
  • Physician re-evaluation of customer 30 – 45 days after receipt of ReBuilder and beginning of sessions

What You Need To Do

  • Contact your doctor to let him and his office know that you want a ReBuilder and confirm if office visit is required
  • Return Proof of Delivery documents to ReBuilder-DME as described
  • Begin using ReBuilder as instructions describe
  • If required, make a “30 Day” appointment with your doctor for a re-evaluation 30 – 45 days after beginning to use the ReBuilder
  • Record use of ReBuilder in provided Treatment Record form
  • See your doctor for the “30 Day” visit
  • Obtain and send, or have the doctor’s office send, the completed Certificate of Medical Necessity to RBM-DME

What We (RBM-DME) Need To Do

  • Confirm via voice or email that your completed Intake Form has been received and is awaiting documentation
  • Confirm your benefits
  • Confirm with you what your quoted benefits are and what your financial obligation may be
  • Communicate with you and your physician if documents are not received or are not complete or accurate
  • Notify you when your ReBuilder will be shipped to you
  • Bill Medicare / Insurance for the 30-Day trial period for the ReBuilder
  • Confirm with you that you will be seeing your doctor within the 30 – 45 day time-frame
  • Contact you and your doctor if ReBuilder-DME does not receive the completed CMN within seven (7) business days of your 30-Day appointment
  • Bill Medicare / Insurance

Required Customer Agreement

The customer agrees to:

  • Take responsibility for getting all the answers to questions about both the ReBuilder and the insurance billing process that are individually important,
  • Communicate your interest in the ReBuilder to your doctor,
  • Obtain and provide, or assist in obtaining all required medical necessity records and documentation,
  • Sign and return required documentation as outlined,
  • Comply with all requirements outlined by the ordering physician and the manufacturer in the use of the ReBuilder,
  • Make and keep the 30-Day re-evaluation appointment with your doctor if required,
  • Pay your portion of the bill as determined by Medicare or your insurance,
  • Pay your bill as agreed