Required Date Spans on Claims Clarified

Noridian has received numerous inquiries regarding the necessity of including date spans on claims. The following Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items mandate the inclusion of a date span on all claims submitted to the DME MACs (Medicare Administrative Contractors). This requirement is detailed in the Standard Documentation Requirements Article:

  • Diabetic testing supplies (e.g., test strips, lancets)
  • Continuous passive motion devices (CPM)
  • Parenteral and enteral nutrition
  • Parenteral and enteral administration kits
  • External infusion pump supplies (recommended)

Suppliers are obligated to encompass the service dates using "From" and "To" dates on any electronic or paper claim for the aforementioned items. The "From" date signifies when the items were furnished to the Medicare beneficiary. Conversely, the "To" date corresponds to the anticipated final date of usage for the items. For instance, if a three-month provision (January - March 2023) of diabetic testing supplies is being supplied to a beneficiary, the "From" date on the claim should be "01/01/2023," and the "To" date should be "03/31/2023." This information is required to facilitate accurate processing of the claim by the DME MACs.

Last Updated Sep 27 , 2023