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No New Orders Required When Patients Switch DME/HME Suppliers

Written by: Rebecca Bowden on Monday, May 8, 2017 Posted in: HME/DME

As of April 24, 2017, if patients need to switch from one supplier of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) to another, patients can simply transfer their timely and compliant documents.

Prior to the recent change request from CMS, new physician orders were required with every change in supplier. If a face-to-face visit was required, this meant that patients had to visit their physicians to get new orders. Oftentimes, the change from one DME supplier to another was outside the patient’s control, such as when the patient’s supplier failed to win a competitive bid, so the new order requirement created an unnecessary burden on both patients and suppliers alike.

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While this is great news for HME and DME suppliers, who can now easily serve transferring patients, CMS cautions that new orders are still required when:

  • There is a change in the supplier and the recipient supplier does not obtain a valid order for the DMEPOS item from the transferring supplier
  • There is a change in the order for the accessory, supply, drug, etc.
  • An item is replaced
  • It is so specified in the documentation section of a particular medical policy that a new order is required on a regular basis

Keeping track of new patients and their transferred orders, as well as new orders when required, continues to be critical for reimbursement, so be sure you have a system, such as CareTend, in place to help. CareTend provides complete paperless documentation and quick access to all your DMEPOS documents.

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