DME MAC DMEPOS
Documentation Requirements
– Clinical course (worsening or improvement)
– Prognosis, nature, and extent of functional limitation
– Other therapeutic interventions, and results
– Past experience with related items, etc.
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 patient's diagnosis and other pertinent information, as applicable, such as:
– Clinical course (worsening or improvement)
– Prognosis, nature, and extent of functional limitation
– Other therapeutic interventions, and results
– Past experience with related items, etc.
