Frequently Asked Questions
- Home delivery
- UPS
- In-store pick up
On July 1, 2013, section 6407 of the Affordable Care Act established operational protocols necessary to comply with face-to-face encounter requirements for certain DME items. The law states that:
What must be documented in the face-to-face encounter?- A patient encounter must occur within six months prior to the order being written for DME.
- A physician, nurse practitioner, physician assistant or clinical nurse specialist must have a face-to-face encounter with the patient.
- If the face-to-face encounter has occurred within six months and is completed by a physician assistant, nurse practitioner, or clinical nurse specialist, the physician must cosign and date the pertinent portion of the face-to-face encounter.
Beneficiary was evaluated and/or treated for a condition that supports the DME ordered.
What DME items require a face-to-face and a written order prior to delivery?- Bilevel positive airway pressure
- CPAP
- Cough assist
- Hospital beds
- Nebulizer
- Oscillatory devices
- Oxygen
- Seat lift
- TENS
- Traction devices
- Ventilator
- Wheelchairs and accessories