RETIRED - In-Person Visit Requirement for Section 6407 of the Affordable Care Act - Clarification - JA DME
RETIRED - In-person Visit Requirement for Section 6407 of the Affordable Care Act - Clarification
Joint DME MAC Publication
Section 6407 of the Affordable Care Act (ACA 6407) requires that an in-person or face-to-face encounter must occur within the six months preceding the written order. There have been questions about whether this in-person visit must be conducted by the prescribing physician or whether an in in-person visit with another treating practitioner may be acceptable to fulfil this requirement.
CMS has clarified that the treating practitioner that conducted the face-to-face examination does not need to be the prescriber of the order for the DME item. However the prescriber must have knowledge and documentation of the face-to-face examination that was conducted.
Refer to the previously published bulletin and the applicable medical policy for additional information about ACA 6407.
This information will be updated in the previously published material.
|Date of Change||Description|
|03/12/20||Retired due to CMS Final Rule 1713-F|
Last Updated Fri, 13 Mar 2020 11:24:45 +0000