DME MAC DMEPOS
DOCUMENTATION REQUIREMENTS
For any DMEPOS item to be covered by Medicare, the patient's medical record must contain sufficient information about the patient's medical condition to substantiate the necessity for the type and quantity of items ordered and for the frequency of use or replacement (if applicable).
The information should include the following information, as applicable:
1). Diagnosis and duration
2). Characteristics of tremor and/or abnormal movement pattern noted
3). Side(s) affected
4). Severity
5). List of functional deficits, nature and extent
6). Prognosis
7). Other therapeutic interventions and results
8). Why Custom Fabrication
The information should include the following information, as applicable:
1). Diagnosis and duration
2). Characteristics of tremor and/or abnormal movement pattern noted
3). Side(s) affected
4). Severity
5). List of functional deficits, nature and extent
6). Prognosis
7). Other therapeutic interventions and results
8). Why Custom Fabrication
