decisionhealth Newsletters, Part B News - 2012 Issue 7 (July)
DME face-to-face proposal brings extra documentation, burden to practices
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Article Overview
This article explains a CMS proposal in the 2013 Medicare physician fee schedule that would add documentation and communication requirements for durable medical equipment orders. It is relevant to physicians, non-physician practitioners, billing staff, and DME suppliers who manage Medicare ordering workflows and related paperwork. The article covers the proposed face-to-face visit requirement, the added documentation burden, supplier submission expectations, and the operational impact on practices.
Why This Topic Matters
The proposal could change how practices document, sign, and transmit DME order information, affecting reimbursement timing, administrative workload, and coordination with suppliers.
Article Sections
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Proposed fee schedule
Summarizes the CMS proposal and the types of DME ordering situations it would affect. It also describes the general practitioner and supplier workflow implications discussed in the article.
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Key documentation components
Outlines the broad categories of information the article says would need to appear in written DME order documentation. It also discusses the administrative handling of that documentation and its impact on practice operations.
What You Will Learn
- How the article frames CMS’s proposed changes affecting DME ordering
- Which professionals are involved in the proposed face-to-face visit process
- What broad documentation areas the article says practices would need to manage
- Why the proposal could increase administrative workload for practices
- How supplier and claims-related documentation flow is described at a high level
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical coders
- Billing staff
- Practice managers
- DME suppliers
Codes Discussed
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