Medical Billers and Coders

According to the Medicare Program Integrity Manual, Chapter 5 (Items and Administrations Having Special DME Survey Considerations), before you dispense any DMEPOS item to a beneficiary, you need to have an order from the treating physician . Please note that this article is proposed for providers billing Durable Medical Equipment (DME) MACs for Durable Medical Equipment Prosthetics, Orthotics Supplies (DMEPOS) gave to Medicare beneficiaries.  Verbal or preliminary written orders: Providers may dispense most items of DMEPOS based on a verbal order or a preliminary written order from the treating physician/practitioner.  Detailed written orders needed before claim submission: A detailed written order may be a photocopy, facsimile image, electronic, or pen-and-ink original document. For all items, the provider shall have a detailed written order prior to presenting a claim.  It needs to have a description of the item to incorporate all options or additional features that will be separate