decisionhealth Newsletters, Part B News - 2014 Issue 3 (March)
OIG to look at face-to-face exam requirements for PMD prescriptions
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Article Overview
This piece explains a Medicare compliance issue involving power mobility device prescriptions and the documentation expected around the required face-to-face encounter. It is relevant to physicians, practice managers, and durable medical equipment stakeholders who handle mobility-related orders and supporting records. The article summarizes the OIG’s audit interest, references Medicare coverage policy, and notes billing and documentation considerations tied to the encounter.
Why This Topic Matters
Providers and billing teams working with mobility equipment must understand when documentation supports medical necessity and how Medicare oversight may affect claims review. The article helps readers recognize the compliance risk area and the general policy context surrounding PMD prescriptions.
What You Will Learn
- Why Medicare and the OIG are focusing on power mobility device prescribing
- How face-to-face encounter documentation relates to PMD compliance
- What general documentation and coverage considerations are highlighted for providers
- Why mobility-related evaluation records matter in claim review and audit contexts
Who Should Read This
- Physicians
- Family medicine practices
- Practice managers
- Medical coders
- Billing staff
- Durable medical equipment suppliers
- Compliance staff
Codes Discussed
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