Policies

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.

  • Smitha Ballyamanda MD, CAQSM
    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 - View checklists created specifically for clinicians to assist with ensuring that you complete the appropriate documentation needed when you prescribe durable medical equipment prosthetics, orthotics and supplies (DMEPOS) to your Medicare patients.

Clinician Tutorials - Access self-paced video tutorials created specifically for clinicians to assist with appropriate documentation when prescribing DMEPOS for your Medicare patients.

 

Clinician Hot Topic Articles

Title Date Posted
Competitive Bidding - Non-Contract Exceptions - Physicians and Other Treating Practitioners, Physical Therapists, and Occupational Therapists 04/23/18
Clinicians! Your Medical Records Play a Vital Role in Ordering and Providing DMEPOS to Your Patients - Reminder 04/13/18
Continuous Glucose Monitor (CGM) Use - Alternative Testing For Fingerstick Testing Requirements For Insulin Pumps 04/05/18

 

Clinicians! Are You Ordering...

Title Original Date Posted Last Updated
Clinicians! Are You Ordering a Spinal Orthosis for Your Patient? 08/28/19 01/17/23
Clinicians! Are You Ordering Diabetic Shoes for Your Patients? 06/01/20 03/12/21
Clinicians! Are You Ordering External Breast Prostheses and Supplies for Your Patient? 07/31/20 09/28/20
Clinicians! Are You Ordering Glucose Monitors and Supplies For Your Patient? 07/31/20 05/19/21
Clinicians! Are You Ordering Knee Orthoses for Your Patients? 01/17/23 01/17/23
Clinicians! Are You Ordering AFO/KAFO Orthoses for Your Patients? 06/25/19 01/17/23
Clinicians! Are You Ordering Nebulizers and Inhalation Medication for Your Patient? 05/29/20 10/08/21
Clinicians! Are You Ordering PAP Devices and Related Accessories for Your Patients? 07/31/20 07/29/21
Clinicians! Are You Ordering Surgical Dressings for Your Patients? 07/31/20 09/28/20
Clinicians: Are You Ordering Oxygen for Your Patient? 09/14/18 02/24/21
Clinicians Ordering Oxygen and Oxygen Equipment - Reference Guide 08/21/19 10/04/19
Clinicians Ordering Oxygen and Oxygen Equipment - Reference Guide with information for the COVID-19 public health emergency (PHE) 02/24/21 02/24/21

 

Last Updated Tue, 17 Jan 2023 18:25:15 +0000