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Supplier Documentation Chapter 3

Supplier Documentation Chapter 3 Winter 2018 DME MAC Jurisdiction C Supplier Manual Page 1 Chapter 3 Contents 1. General Information 2. Definition of Physician 3. Prescription (Order) Requirements 4. Documentation in the Patient s Medical Record 5. Signature Requirements 6. Refills of DMEPOS Items Provided on a Recurring Basis 7. Beneficiary Authorization 8. Proof of Delivery (POD) 9. Advance Beneficiary Notice (ABN) 10. Miscellaneous Documentation Issues 11. Evidence of Medical Necessity: Power Mobility Devices (PMD) 12. Comprehensive Error Rate Testing (CERT) 1. General Information CMS Manual System, Pub. 100-08, Medicare Program Integrity Manual, Chapter 5, For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and 3) meet all other applicable Medicare statutory and regulatory requirements.

Supplier Documentation Chapter 3 . Winter 2019 DME MAC Jurisdiction C Supplier Manual Page 3 . request.

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