dNPWT Configuration

Configure billing rates

Netsmart Homecare uses 0279 (0279 *Other Supplies/Devices) to uniquely differentiate dNPWT devices from other supplies to associate HCPCS code A9272. 

1. Go to Administration > Financial > Billing Rates.
2. Create a Supply Bill Rate:
   1. General Tab: Select Internal Supplies.
   2. Rate Tab: Add a detail line for your Medicare PDGM Insurance Code:
      1. Effective Date: 01/01/2024
      2. Gross Rate:
      3. Net Rate:
3. Utilize the proper rates, revenue, and HCPCS codes.
4. On the Other tab, ensure the PPS Payable checkbox is selected.
5. Save the changes.

Configure supplies

1. Go to Administration > General > Supplies.
2. Add the new code for the dNPWT device with the proper revenue and HCPCS code.
3. Link the Billing Rate(s) you just configured.
4. The dNPWT supply can be added while updating visit details in Transactions > General > Timelog at the bottom of the screen
   OR
   The dNPWT supply can be connected to a visit through Transactions > General > Supplies.
   Note: The supply needs to be verified to be added to the claim.
5. In the PDGM Insurance code, check the Print Variation of Summarize Supplies by Revenue Code.

Billing templates

The minimum Medicare Billing templates required to support claim submission are:

• 837I 5010 NGS Medicare Home Health PPS Min 18.4.0 (v5).bft
• 837I 5010 Palmetto Medicare Home Health PPS Min 18.4.0 (v4).bft
• 837I 5010 CGS Medicare Home Health PPS Min 18.4.0 (v4).bft
• 837I 5010 RevConnect Medicare Home Health PPS Min 18.4.0 (v5).bft

The Billing templates are installed in Administration > Configuration > Business Units > Billing Templates > Load New or Revised Billing Templates.