Clinician's Corner

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Mission Statement: To assist clinicians with a better understanding of the coverage and documentation requirements when providing and ordering durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) to Medicare beneficiaries. Prior to dispensing any DMEPOS item, suppliers are expected to conduct a thorough intake and assessment to determine if the beneficiary qualifies for the item. There must be an open line of communication between the supplier and ordering practitioner. Suppliers are trained on coverage criteria for equipment, however, the documentation to support that criteria cannot come from the supplier, it must be present in the beneficiaries' medical record. This section of the website is dedicated to the clinicians to assist with this understanding.

  • Fred Mamuya, M.D., PhD
    Medical Director, DME MAC, Jurisdiction A
  • Peter J. Gurk, M.D., CPE, CHCQM
    Medical Director, DME MAC, Jurisdiction D

 

Clinician Resource Letters - Letters created by the Medical Directors of all four DME MAC Jurisdictions to assist suppliers in communicating the documentation needs to the referring clinicians

 

Clinician's Checklists

 

Clinician Hot Topic Articles

Title Date Posted
Physicians! Your Medical Records Play a Vital Role in Ordering and Providing DMEPOS to Your Patients - Reminder Apr 12, 2018
Continuous Glucose Monitor (CGM) Use - Alternative Testing For Fingerstick Testing Requirements For Insulin Pumps Apr 5, 2018

 

Physicians! Are you ordering...

Title Date Posted
Physicians! Are You Ordering External Breast Prostheses and Supplies for Your Patient? Dec 21, 2017
Physicians! Are You Ordering Diabetic Shoes for Your Patients? Aug 10, 2017
Physicians! Are You Ordering Nebulizers and Inhalation Medication for Your Patient? Dec 16, 2016
Physicians! Are You Ordering Glucose Monitors and Supplies For Your Patient? Sept 12, 2016

 

Last Updated Jun 08, 2018