Orders for Supplies

We are dedicated to providing the same care and and quality of service your patients receive from you. In order to do so we are required to obtain certain documentation in order to provide your patients with the supplies they need. For certain supplies additional documentation may be required for us to have in our files such as Letters of Medical Necessity, doctors notes or lab results and assessments. 

Medicare guidelines require DMEPOS suppliers to have detailed written orders. Below are excerpts from Medicare's guidelines regarding DMEPOS orders:

"You must have an order from the treating physician before dispensing a DMEPOS item to a beneficiary. Except for items requiring a written order prior to delivery, the dispensing order may be a written, fax, or verbal order. The dispensing order must include: 

  • A description of the item; 
  • The beneficiary's name; 
  • The name of the physician; and
  • The date of the order. "

"Detailed written orders are required for all transactions involving DMEPOS; the order must include the above information required for verbal and preliminary written orders.  The order must be signed and dated (handwritten or electronic only—signature and date stamps are not acceptable) by the physician.  Detailed written orders may take the form of a photocopy, facsimile image, electronically maintained, or original "pen-and-ink" document (Reference: CMS Manual System, Pub. 100-08, Medicare Program Integrity Manual, Chapter 3, section 3.4.1.1.B)."

"All orders must clearly specify the start date of the order."

"If the written order is for supplies that will be provided on a periodic basis, the written order should include appropriate information on the quantity used, frequency of change, and duration of need (for example, an order for surgical dressings might specify one 4 x 4 hydrocolloid dressing that is changed 1-2 times per week for one month or until the ulcer heals). "

"You must have a detailed written order prior to submitting a claim. If you do not have a faxed, photocopied, electronic, or pen and ink signed detailed written order in your records before you submit a claim to Medicare (i.e., if there is no order or only a verbal order), the claim will be denied."

"Medical necessity information (e.g., an ICD-9-CM diagnosis code, narrative description of the patient's condition, abilities, and limitations) is NOT in itself considered to be part of the order although it may be put on the same document as the order. "

 

We will do our best to request any necessary documentation needed for your client's supplies with minimal contact to provide greater efficiency for your staff. Please help us help you by submitting any requested documentation as quickly as possible. In many cases we are unable to fill an order unless it is qualified by supporting documentation. 

 

 
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