Byram Healthcare’s Diabetes Care Solutions are tailored to meet the needs of you and your patients living with diabetes. We offer the latest technology in diabetes products, which allows your patients to experience the benefit of managing their diabetes with greater ease and comfort. New Continuous Glucose Monitors, Insulin Pumps, and Blood Glucose Meter technologies provide new and more appealing ways to remain compliant with your diabetes care direction.
The Byram Healthcare Diabetes Center of Excellence focuses on providing market leading customer service to you and your patients. Our customer service specialists have extensive product and insurance knowledge and are skilled at answering your questions, making ordering as easy and reassuring as possible. Our customized programs are designed to support our customers and their clinical partners every step along the way. We work closely with our healthcare professionals, insurance companies, product manufacturers, and caregivers to help improve our customers’ health.
e-Prescribe Diabetes Supplies
You can now e-prescribe diabetes supplies through Byram Healthcare using DMEscripts and Parachute Health e-Ordering portals.
- No more faxing prescriptions & orders
- Less rework when submitting patient supply orders
- Real-time order status & delivery updates
- No cost to use these programs.
To learn more, watch videos and enroll in Parachute Health and DMEscripts e-ordering portals today!
Managed Care
Byram Healthcare is contracted with hundreds of managed care plans. We will work with you and within guidelines of the managed care plan to provide appropriate quantities of supplies your patients need.
Medicare Advantage Plan
We can also help if your patients have a Medicare Advantage Plan through a private insurance company and they are using that Advantage Plan to obtain their diabetes testing supplies. Byram Healthcare can provide all necessary insulin pumps, pump supplies, Continuous Glucose Monitors supplies, and diabetes testing supplies to patients who have these Medicare Advantage Health Plans. All supplies are shipped directly to their homes at no additional cost.
If you have patients who have traditional Medicare coverage for their diabetes test strips, and they need to obtain their products from a provider participating in Medicare's competitive bid; we can help them find the right provider.
Online Reordering
We also offer your patients the convenience of refilling prescription through MyByramhealthcare.com, our easy to use online ordering system. This allows your patients to refill their prescriptions 24 hours a day, 7 days a week whenever it is convenient for them.
Mobile App Reordering
Ordering just got even easier for current Byram Healthcare customers. They can download the free app to their preferred iOS and Android devices today and manage their Byram Healthcare account with the highly rated mybyram mobile app. It's easy to enroll and even easier to use.
Continuous Glucose Monitoring (CGM) Coverage (For services performed on or after 7/18/2021)
The Centers for Medicare and Medicaid Services (CMS) coverage of CGM devices by Medicare under the DME benefit are defined in CMS Ruling 1682R as therapeutic CGMs. Refer to the Non-Medical Necessity Coverage and Payment Rules in the LCD-related Policy Article for additional information.
Therapeutic CGMs and related supplies are covered by Medicare when all of the following coverage criteria are met:
- Patient has diabetes mellitus (Refer to the ICD-10 code list in the LCD-related Policy Article for applicable diagnoses); and,
- Patient is insulin-treated with multiple (three or more) daily administrations of insulin or a continuous subcutaneous insulin infusion (CSII) pump; and,
- Patient’s insulin treatment regimen requires frequent adjustment by the beneficiary on the basis of BGM or CGM testing results; and,
- Within six (6) months prior to ordering the CGM, the treating practitioner has an in-person visit with the beneficiary to evaluate their diabetes control and determined that criteria (1-3) above are met; and,
- Every six (6) months following the initial prescription of the CGM, the treating practitioner has an in-person visit with the beneficiary to assess adherence to their CGM regimen and diabetes treatment plan.
When a therapeutic CGM (code K0554) is covered, the related supply allowance (code K0553) is also covered.
If any of coverage criteria (1-5) are not met, the CGM and related supply allowance will be denied as not reasonable and necessary.
The supply allowance (code K0553) is billed as 1 Unit of Service (UOS) per thirty (30) days. Only one (1) UOS of code K0553 may be billed to the DME MACs at a time. Billing more than 1 UOS per 30 days of code K0553 will be denied as not reasonable and necessary.
Therapeutic CGM devices replace a standard home blood glucose monitor (HCPCS codes E0607, E2100, E2101) and related supplies (HCPCS codes A4233, A4234, A4235, A4236, A4244, A4245, A4246, A4247, A4250, A4253, A4255, A4256, A4257, A4258, A4259). Claims for a BGM and related supplies, billed in addition to an approved CGM device (code K0554) and associated supply allowance (code K0553), will be denied. Refer to the Coding Guidelines in the LCD-related Policy Article for additional information.
All therapeutic CGM devices billed to Medicare using HCPCS code K0554 must be reviewed for correct coding by the Pricing, Data Analysis and Coding (PDAC) contractor. Continuous Glucose Monitor systems that are billed using HCPCS code K0554, but that are not listed on the Product Classification List for HCPCS code K0554, will be denied as incorrect coding. Refer to the Coding Guidelines in the LCD-related Policy Article for additional information..
At Byram our first priority is to ensure your needs are met
Our job is to make your life simpler through convenient, affordable supply delivery.
LEARN MORE
At Byram our first priority is to ensure your needs are met
Our job is to make your life simpler through convenient, affordable supply delivery.
Stay At Byram our first priority is to ensure your needs are met
Our job is to make your life simpler through convenient, affordable supply delivery.
KEEP MORE Explore our Diabetes Product Catalog
Along with our product offering, our catalog offers valuable information about insurance coverage for diabetes supplies, education and more.
Visit Our Online Diabetes Catalog Byram Healthcare Diabetes Catalog
