Standard Elements for DMEPOS Order, and Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Orders Prior to Delivery and, or Prior Authorization Requirements

MLN Matters Number: SE20007
Article Release Date: February 24, 2020
Effective Date: January 1, 2020
Implementation Date: January 1, 2020

SE20007 informs providers that the Calendar Year (CY) 2020 End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Final Rule CMS-1713-F (84 Fed. Reg Vol 217) (https://www.federalregister.gov/documents/2019/11/08/2019-24063/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis) goes into effect January 1, 2020.

This rule, in part, streamlines the requirements for ordering Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items through the identification of a standard set of elements to be included in a written order/prescription. It also develops a new Master List of DMEPOS items potentially subject to a face-to-face encounter, written orders prior to delivery and, or prior authorization requirements as a condition of payment (thereby harmonizing prior lists). This standard written order and Master list will simplify the ordering of DMEPOS items and eliminate multiple lists of DMEPOS items potentially subject to conditions of payment.

View the complete CMS Medicare Learning Network (MLN) Matters Special Edition (SE)20007.

            Last Updated Fri, 14 Aug 2020 16:30:39 +0000