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Northern Colorado Nurse Practitioner Coalition

Follow up to March Legislative meeting - DME restrictions pending...

Posted over 4 years ago by Tenley Roeder

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Initial e-mail from Rhonda Squires to AANP :

A question has arisen in our region and we're uncertain about the current status of the enforcement of the face-to-face encounter requirements for DME.  Our local DME supply groups are requiring face-to-face documentation by a physician.  Our understanding was that this portion of the rule was still delayed per the Dec, 2013 CMS statement http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/FacetoFaceEncounterRequirementforCertainDurableMedicalEquipment.html  .  Can you clarify or give us some additional insight?

Thanks!

Rhonda

Follow up email from AANP in response to Rhonda:

You are correct in linking the CMS notification of the delay.  That is the most current, official word we have received from CMS.

Members have notified us that there are DME supplier companies who are enforcing the physician documentation.  The suppliers state that audits may be conducted retroactively and they are unwilling to change procedure based on the current CMS language.

At this point our suggestion is to please provide the name and contact information of any supplier who is unwilling to fill your orders.  We are working with companies directly and we are keeping a list of these suppliers.

Additionally, the only covered items are those on the attached list.  This is not a blanket rule for all DME.  If your orders are for items not listed – there should be no delay in any supplier filling your order.

I hope this information proves helpful, please let me know if there is anything else I can do.

Kind Regards,

-Nick

Nicholas Rumberger

American Association of Nurse Practitioners (AANP)

Email: nrumberger@aanp.org

Please email Nick directly if you are having difficulties with DME supplier companies