Phone: (651) 644-9770

FACE-TO-FACE AND WRITTEN ORDER REQUIREMENTS FOR CERTAIN TYPES OF DME

Monday, December 3, 2018 @ 03:12 PM  posted by jbuytaert
FACE-TO-FACE AND WRITTEN ORDER REQUIREMENTS FOR CERTAIN TYPES OF DME
Revised October 2018
Dear Physician,
For certain specified items of durable medical equipment (listed on CMS’s website, https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/FacetoFaceEncounterRequirementforCertainDurableMedicalEquipment.html), as a condition of payment pursuant to 42 CFR 410.38(g), certain specified covered items of DME require:
1. An in-person, face-to-face examination with the treating practitioner (Medical Doctor (MD), Doctor of Osteopathic Medicine (DO) or Doctor of Podiatric Medicine (DPM), physician assistant (PA), nurse practitioner (NP) or clinical nurse specialist (CNS)) and,
2. The treating practitioner must document that the beneficiary was evaluated and/or treated for a condition that supports the need for the item(s) of DME ordered; and,
3. The face-to-face examination must have occurred sometime during the six (6) months prior to the date of the order for the item.
The purpose of this letter is to provide additional details of these requirements.
Medicare rules stipulate that a face-to-face examination meeting the requirements discussed below be performed each time a new prescription (i.e., written order) for one of the specified items is written. A new prescription is required by Medicare:
• For all claims for purchases or initial rentals
• If there is a change in the order for the accessory, supply, drug, etc.
• On a regular basis (even if there is no change in the order) only if it is so specified in the documentation section of a particular medical policy
• When an item is replaced
• When there is a change in the supplier, and the new supplier is unable to obtain a copy of a valid order and documentation from the original supplier.
Prescription (order) Requirements
The statute requires a specific written order prior to delivery for the specified items of DME. The order has five (5) mandatory elements, referred to as a 5-element order (5EO).
• The 5EO must include all of the following: Continue Reading…

Monday, November 26, 2018 @ 11:11 AM  posted by jbuytaert

Happy Thanksgiving from Handi Medical

Tuesday, November 20, 2018 @ 10:11 AM  posted by jbuytaert

All lower extremity compression is not created equally!

Friday, November 2, 2018 @ 11:11 AM  posted by jbuytaert

TED Hose

TED (Thrombo-Embolic Deterrent Hose) stockings may be prescribed to people who are in bed. For these people, the risk of a blood clot developing in their legs is a main concern. TED hose help reduce this risk by administering pressure on the lower part of the leg and feet – with the most compression occurring at the calf muscle.

Compression Socks

Compression socks are for people who are ambulatory or with circulatory problems:

  • venous insufficiency
  • lymphedema
  • varicose veins
  • wounds

For some people, this can be a temporary condition during pregnancy, for others it is chronic. Compression levels range from 15 to 20 mmHG up to 60 mmHg (above 20 mmHg is considered prescription strength). Compression socks help keep blood from pooling in the ankles, where the pressure is the greatest.

To measure for compression socks:

  • Ankle measurement
  • Calf, around largest area
  • Thigh for thigh-high socks
  • Length of sock
  • Compression strength in mmHg

You can purchase compression socks at Handi Medical Supply

Twin Cities                              Coon Rapids                            Mankato
651-644-9770                          651-789-5858                          507-779-7560

www.handimedical.com

Thursday, November 1, 2018 @ 01:11 PM  posted by jbuytaert