Supplier Manual - Chapter 3 Supplier Documentation

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 Fall 2021 DME MAC Jurisdiction C Supplier Manual Page 2 If the Medicare qualifying supplier documentation is older than sevenyears, proof of continued medical necessity of the item or necessity of the repair can be used as the supporting Medicare qualifying documentation.

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