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Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)

To assist providers and suppliers with a better understanding of the roles for billing, coverage, documentation requirements, and medical necessity when providing durable medical equipment, prosthetics, and supplies (DMEPOS) to Medicare beneficiaries, there are 57 DMEPOS policies.

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 patient's medical record.

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  • Jurisdiction A includes: CT, DE, ME, MD, MA, NH , NJ, NY, PA, RI, VT, Washington DC
  • Jurisdiction D includes: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, WY, Am.Samoa, Guam, N.Mariana Islands
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Last Updated Apr 25, 2017