Documentation Requirements for Durable Medical Equipment
As a condition for payment, the Affordable Care Act, requires the patient's medical record must contain sufficient documentation to substantiate the necessity for the type of and quantity of items ordered for the patient.
A Physician, Physician Assistant (PA), Nurse Practitioner (NP), or Clinical Nurse Specialist (CNS) must have a Face-to-Face evaluation with the patient prior to the written DME order, and document the Face-to-Face evaluation in the patient's medical records.
The Face-to-Face evaluation must occur during the six months prior to the written order for each item. Also, the evaluation MUST be signed or co-signed by a physician.
More detailed information is available below:
Detailed Medicare Requirements
DME Face-to-Face Rule
Hospital Beds
Manual Wheelchair
As a condition for payment, the Affordable Care Act, requires the patient's medical record must contain sufficient documentation to substantiate the necessity for the type of and quantity of items ordered for the patient.
A Physician, Physician Assistant (PA), Nurse Practitioner (NP), or Clinical Nurse Specialist (CNS) must have a Face-to-Face evaluation with the patient prior to the written DME order, and document the Face-to-Face evaluation in the patient's medical records.
The Face-to-Face evaluation must occur during the six months prior to the written order for each item. Also, the evaluation MUST be signed or co-signed by a physician.
More detailed information is available below:
Detailed Medicare Requirements
DME Face-to-Face Rule
Hospital Beds
Manual Wheelchair