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Frequently Asked Questions


Tyler Medical Supplies, Inc. is dedicated to supplying the highest quality wound care dressings available. We can supply these dressings to Medicare Part B (and various other insurance) entitled residents at NO COST to the facility. The following list is what we have found to be the most frequently asked questions and concerns.

1) HOW ARE WE ABLE TO GET DRESSINGS TO THE FACILITY AT NO COST?

We can provide dressings to Medicare Part B (and various other insurance) entitled residents at no cost to the facility. These residents pay a premium every month to receive insurance benefits. Medicare Part B and many other insurance carriers cover wound care dressings as one of those benefits. Not only do we take full responsibility for obtaining the insurance reimbursement but, we can also guarantee in writing that your facility will not receive a bill for any item supplied by Tyler Medical even if we do not get paid by the insurance carrier. Of course, this does not apply to a payment denial due to incorrect / false information provided to Tyler Medical by the facility representative(s). Tyler Medical is extremely proactive in our approach to providing insurance approved items. We have systems in place that allow us to learn if an individual is entitled to receive dressings.

2) ARE THERE ANY HIDDEN COSTS?

Absolutely not! Tyler Medical is a Medicare Participating Provider that accepts assignment for services provided. That means that we accept only the amount that Medicare deems as an “allowable” charge. Rest assured that we are not permitted to recoup a single penny beyond the charges deemed “allowable” by Medicare. This is also true of any other insurance carriers that we bill.. We obtain coverage and benefit information prior to processing the order to assure that we are an eligible provider. Tyler Medical always accepts assignment and accepts the “allowable” amount as payment in full. If the resident has a secondary insurance, that carrier will be billed automatically by Medicare crossover or manually by Tyler Medical for the remaining twenty percent balance that the primary insurance did not cover. We DO NOT bill the facility or resident.

3) WHO HANDLES THE PAPERWORK?

Tyler Medical generates all of the required documents needed to process an order and bill a claim. The designated facility representative is only responsible for reviewing the information, signing and dating the document(s) and returning them to Tyler Medical.

4) WHAT ABOUT THE TWENTY PERCENT THAT MEDICARE DOES NOT PAY FOR?

Most residents have some type of coinsurance. Usually, a resident will have Medicaid if nothing else. Tyler Medical is cost effective with just the eighty percent “allowable” amount that most primary insurance carriers reimburse at. We are only required to make a reasonable attempt at recouping the additional twenty percent of the “allowable” amount. We are not required to spend more money in recoupment costs than the value of the outstanding twenty percent “allowable” amount. For that reason, we only need to receive a payment or a denial from the resident’s coinsurance to fulfill our billing obligations.

5) WHAT IF A RESIDENT DOES NOT HAVE A SECONDARY INSURANCE?

Tyler Medical has a system in place that can uncover a secondary insurance that may have been overlooked. But, if a resident truly does not have any coverage in addition to their primary insurance then the outstanding twenty percent “allowable” amount becomes their responsibility. But, most people in this situation are experiencing life on a very fixed budget and have a significant financial hardship. In this case, the individual will be eligible to sign a financial hardship form that will eliminate this payment obligation. Also, please keep in mind that we are not a collection agency and do not report to any credit bureaus.

6) IS THERE A MINIMUM ORDER?

No. Tyler Medical does not have any minimum order requirement.

7) ARE THERE ANY CONTRACTS TO SIGN?

No. Tyler Medical does not require or provide contracts to be signed. Tyler Medical is willing to review and sign contracts that are required and provided by the facility / corporation. However, it is important that Tyler Medical should be the sole wound care provider in the facility. This cuts down on confusion and overlapping while assuring that the healing progress made is not stalled or reversed. Tyler Medical has the ability to provide many products from various manufacturers eliminating the need to look elsewhere for a particular protocol.

About Us

Tyler Medical Supplies, Inc. is a nationwide provider of therapeutic wound care and surgical dressings. [read more…]

Why Choose TMS?

We have spent hundreds of hours refining our system so that claims get paid. We only provide wound care. It is our specialty and we excel in wound care in comparison to our “one stop shop” competitors.

Downloads

Wound Staging Guide [PDF]

Services Brochure [PDF]

Accreditation Certificate [PDF]

Contact Us

Tyler Medical Supplies, Inc.
120 W. Allegheny Road
Suite 3
Imperial, PA 15126
Tel: 1-800-941-4222
Fax: 1-800-941-4622
Email contact form

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