Article Detail - JE Part B
Bill Correctly: Power Mobility Device Repairs
An Office of Inspector General report stated that Medicare improperly paid claims for power mobility device (PMD) repairs when suppliers didn’t provide sufficient documentation to support billing charges. The Power Mobility Devices booklet explains how to properly document and bill for PMD repairs.
Follow these steps to bill for repair charges:
- Check the Standard Written Order (SWO)
- Make a prior authorization request
- Complete a home assessment
- Keep the following documents: SWO; face-to-face visit supporting documents; written home assessment report; proof of delivery; records describing repairs, including a detailed explanation that justifies components or parts replaced and labor time to fix the item
- Review all information to avoid improper payments
More Information:
- 42 CFR 414.210
- Section 110.2 Medicare Benefit Policy Manual, Chapter 15
- Section 510.1 Medicare Program Integrity Manual, Chapter 5
Source: CMS MLN Connects dated December 8, 2022
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