Pick Up Slips - JA DME
Pick Up Slips
Medicare regulation specifically forbids payments for multiple claims for rental of the same or similar equipment from either the same or a different supplier during the same rental month.
For purposes of this section, a pick-up slip is written confirmation, provided by a supplier, that the supplier has removed an item of DME from the beneficiary's home.
When making determinations, DME MACs, Zone Program Integrity Contractors (ZPICs) and Unified Program Integrity Contractors (UPICs) must determine whether equipment is present in the home and which equipment is being used by the beneficiary. It is inappropriate to determine, solely based on lack of a pick-up slip, that a piece of equipment may still be in use. It is also inappropriate for DME MACs, UPICs and ZPICs to deny claims solely based on lack of a pick-up slip. These claims should be developed to determine which piece of equipment is medically necessary.
- CMS Internet Only Manual (IOM), Publication 100-08, Medicare Program Integrity Manual, Chapter 5, Section 5.12
Last Updated Thu, 19 Dec 2019 10:44:27 +0000