Sunday, April 1, 2012

MEDICARE COVERAGE UPDATES FOR
MEDICAL EQUIPMENT



★ Most Items NOW Require a Written Physician’s Order In Hand Prior to Delivery (Walkers, Canes, Mattresses, Wheelchairs & Cushions, Scooters & PowerChairs, Oxygen, Nebulizers, C-Paps)


★ Patient must see ordering physician within 30 days of ordering equipment for a face to face visit that documents medical necessity of equipment ordered


★ There MUST be documentation to justify the Medical Need of the equipment either in the physicians progress notes, facility or home health notes.

★ Must have documentation of Medical Necessity and why equipment is Reasonable & Necessary.


★ Medicare will not cover/pay for another item that is the same or similar if they received it within 5 years.

1 comment:

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