DMEPOS Proof of Delivery Requirements
This is a reminder regarding Medicare’s documentation requirements for typical off-the-shelf and custom orthotics and other “DME” supplied by orthopaedic groups. DME carriers are auditing claims and specifically requesting this documentation.
Whenever your group supplies and bills for DMEPOS, your documentation must include the following detailed written order and proof of delivery-which must be retained for at least seven years.
Detailed Written Order. You must generate the “DWO” prior to submitting the claim and it must include:
• Patient name
• Physician name
• Date of order
• Detailed description of item(s) (i.e., narrative description or brand name/model #)
• Physician signature and signature date (can be electronic, but not a stamp)
(A PA can provide and sign the order if he or she is fully licensed, practicing under physician supervision per state law, and has a NPI.)
Proof of Delivery. The “POD” must include:
• Patient name
• Delivery address
• Detailed description of item(s) (i.e., narrative description or brand name/model #)
• Quantity delivered
• Date received by patient
• Patient/designee signature and printed name (if designee signs, relationship should be noted)
The source of these requirements can be found in Chapter 3 of your DME carrier’s supplier manual. In addition, CMS has released the following MLN Matters guidance https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE19003.pdf.
