Medicare Compliance & Reimbursement
Ordering DME Becomes Easier - But More Fraught With Danger
CMS has decided to reduce unnecessary hassles for providers who report DME, but increased billing scrutiny may piggyback on this new development.
The improvement: The Centers for Medicare & Medicaid Services has proposed some important steps recently to allow physicians to more easily order durable medical equipment without jumping through multiple hoops. The certificate for ordering home oxygen now may need only a rubber stamp instead of a signature, and other certificates could disappear altogether.
The drawback: Physicians may find these improvements come with more inconvenience and scrutiny in other areas. Because falsifying oxygen certificates will be easier, and suppliers won't have any certificates for beds and support surfaces, expect to see more audits of your medical records to prove the medical necessity of DME items your doctor orders. "Be careful what you ask for," warns attorney Carol Loepere with Reed Smith in Washington.
Physicians may have an increased responsibility "to make sure their medical records are complete" now that other paperwork has been scaled back, Loepere warns. The change "is going to put a premium on making sure the physicians are aware of the coverage criteria and their own records support medical necessity." Instead of filling out an easy checklist, physicians will now have to make sure their own medical records support their DME decisions.
Also, physicians will have to come up to speed on 49 new wheelchair codes next year and ensure that they know which exact type of wheelchair is right for their patients' particular needs, experts warn.
New forms: Some DME suppliers may take account of this uncertainty and create their own forms to give to physicians, predicts attorney John Wester with Sidley Austin Brown & Wood in Washington. Because this won't be a Medicare-issued certificate, it won't be subjectto the same legal restrictions on the supplier helping the physician to fill in information as appropriate, and it may be in a more user-friendly format for the physician.
Also, suppliers still need a written order prior to delivery for some support surfaces, notes Wester. So suppliers will either obtain a detailed written order up front, or get a prescription at first and then obtain a written statement of medical necessity later, depending on the requirements for the item.
Allowing physicians to stamp the oxygen certificate may be a prelude to allowing electronic prescriptions and electronic certificates, notes Wester.
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