Medicare Same or Similar Checker

Determine if your beneficiaries have Same or Similar including BatchMode



Same or Similar Checker

Check BatchMode or Single checks

Episode Alert understands the importance of Durable medical equipment suppliers to make sure their customers CMN Status and Same/Similar information is verified to ensure coverage beyond standard eligibility.

Far too many organizations are losing time and money spending hours on IVRs and Medicare portals or dealing with DME/HME software that is hard to understand.

Episode Alert has developed the answer to your frustration, and we have an easy to web-based solution for you.


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Easily look up popular CMS HCPCS codes for all Jurisdictions

  • HCPCS L codes: Orthotic and Prosthetic Devices
  • HCPCS K codes: Durable Medical Equipment for Medicare Administrative Contractors
  • HCPCS A codes: Medical and Surgical Supplies
  • HCPCS E codes: Durable Medical Equipment
  • and more...

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Features

  • Easy to read results - no HCPCS codes experience needed
  • Instantly know the equipment you can or cannot sell to the beneficiary from CMS (Centers for Medicare & Medicaid Services)
  • Check Same or Similar by equipment category or HCPCS codes
  • Check CGS & Noridian beneficiaries all in one place
  • Recheck Beneficiaries with one-click

DME/HME, Physicians, and other providers can check a beneficiary's same or similar status in under a minute with our service. Allowing your sales team the crucial time they need to determine if the DME is within the typical reasonable and useful timeline of five years.


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Batch Mode Features

  • Check Batch Mode - Import your list and export results to excel
  • Check CGS & Noridian beneficiaries all in one place
  • Unsure which MAC? Select "I will include the State instead" in the dropdown
  • Import your beneficaries by pasting from excel/sheets, CSV, or tab delimited text
  • Import the beneficiaries state or select a MAC from drop-down

Eligibility to SNS 1-click Integration


We have also added a handy option most other DME billing software don't have. You can run that SNS patient through or Medicare eligibity checker with a click of a button. This will allow you to confirm that there is no HMO or PPO payer.

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It is essential to confirm Medicare is the primary payer otherwise you will not get your reimbursement. Additionally cutting down on your denied claims and spending more time in the claims appeals process.

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Easy to use Batch Mode


If that's not enough to convince you, we also have our Batch mode service available. Giving you the ability to search a large number of same and similar beneficiaries at once.

We will also give you the option to verify those patients for Medicare. An added bonus to this is if you give us the beneficiaries state we will automatically choose the DME Mac jurisdiction for you.


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Medicare DME Billing


If you are a Medicare DME provider who wants to save time and money, you are in the right place. You can check your beneficiaries Medicare same or similar status quickly and efficiently with episode alert letting you get through DME medical billing in no time.

Our easy-to-use system will allow you to see the five-year claim history of the patient with the date of service.

See HCPCS Modifier in Summary Log


A great feature of our Medicare DME provider tool is you can easily see the modifier for the HCPCS code you ran right on the summary report.

This is extremely useful when running medical necessity determinations of durable medical equipment like braces, orthotics (therapeutic shoes)


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Service Specific FAQ's

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Yes, Our reports are real-time straight from CMS.

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Yes, we offer batch mode so you can check batches of beneficiaries to save you time.

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We use Noridian's Same or Similar Chart to determine if beneficiary has any active equipment (Same or Similar).