Durable Medical Equipment - Documenting Continued Use

by  Christine Woolstenhulme, CPC, CMRS, QCC, QMCS
December 4th, 2014

Treating physicians’ records often omit documentation of a beneficiary’s continuing use of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). By Medicare statute, lack of physician documentation regarding a beneficiary’s continued need and use of an item of DMEPOS will result in claim denials. Many “model charts” from various clinical organizations recommend maintenance of a medication list that indicates the medication(s), strength, dosing schedule, and what the patient is actually taking.

At each visit, the date of the visit is recorded and notations are made regarding the patient’s adherence with each medication. In addition to the patient’s current medications, items of DME can also be incorporated into the list. Hospital beds, respiratory equipment (e.g., nebulizers, CPAP, oxygen) and diabetes testing equipment and supplies are just some of the types of DME that can be monitored through this use of an “expanded” medication list.

In the event of a record request from the medical equipment supplier, this Equipment/Medication List can be provided along with office notes to support your patient’s claim for Medicare coverage.


Durable Medical Equipment - Documenting Continued Use. (2014, December 4). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/durable-medical-equipment-documenting-continued-use-2447.html

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