Policy Article Revision Summary for May 3 2018 - JA DME

Outlined below are the principal changes to the Standard Documentation Requirements for All Claims Submitted to DME MACs Policy Article (PA) that has been revised and posted. Please review the entire PA for complete information.

Standard Documentation Requirements for All Claims Submitted to DME MACs
PA
Revision Effective Date: 05/07/2018
PRESCRIPTION (ORDER) REQUIREMENTS
Correction: Corrected "nurse physician" to "nurse practitioner"
WOPD FOR SPECIFIED DMEPOS ITEMS (5 ELEMENT ORDER)
Correction: Corrected typo "SPECIFICIED" to "SPECIFIED"
Clarified: Date of written order before date of delivery to include or shipped date
PROOF OF DELIVERY (POD)
Added: General Medicare DOS rule
Added: Two options for DOS utilizing a shipping service
REPLACEMENT
Correction: Changed "cases" to "case"

05/03/2018: At this time 21st Century Cures Act applies to new and revised LCDs that restrict coverage, which require comment and notice. This revision is to an article that is not a local coverage determination.

Note: The information contained in this article is only a summary of revisions to the LCDs and PAs.  For complete information on any topic, you must review the LCDs and/or PAs.