Federal (United States) · Agency guidance
Chapter 5
42 sections
42 sections
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.1Home Use of DME, Prosthetics, Orthotics, and Supplies
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2Rules Concerning DMEPOS Orders/Prescriptions
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2.1Standard Written Order/Prescription (SWO)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2.2Required Elements of a SWO
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2.3Who can complete a SWO
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2.4Timing of the Order/Prescription
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2.5When a New Order/Prescription is Required
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.2.6Documentation Requirements for DMEPOS Supplied as Refills
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.3Master List of DMEPOS Items Potentially Subject to a Face- to-
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.3.1Notification of DMEPOS Item(s) Selected and Included on the
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.4Face-to-Face Encounter Definition
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.4.1Timing of the Face-to-Face Encounter
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.4.2Documentation from the Face-to-Face Encounter
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.4.3Suspension of Face-to-Face Encounter and WOPD Requirements
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.5Certificates of Medical Necessity (CMNs) and DME Information
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.5.1Completing a CMN or DIF
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.5.2Cover Letters for CMNs
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.5.3Reserved for Future Use
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.6DME MACs and UPICs Authority to Initiate an Overpayment
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.7Nurse Practitioner or Clinical Nurse Specialist Rules Concerning
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.8Physician Assistant Rules Concerning Orders and CMNs
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.9Documentation in the Patient’s Medical Record
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.10Supplier Documentation
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.10.1Suppliers Documentation for DMEPOS Repair Claims
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.10.2Suppliers Documentation for Claims for Refills of Essential
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.11Evidence of Medical Necessity
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.11.1Evidence of Medical Necessity for the Oxygen Claims
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.11.2Evidence of Medical Necessity: Wheelchair and Power Operated
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.12Period of Medical Necessity - Home Dialysis Equipment
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.13Safeguards in Making Monthly Payments
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.13.1Reserved for Future Use
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.14Pick-up Slips
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.15Incurred Expenses for DMEPOS
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.16Reserved for Future Use
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.17Definition of Customized DMEPOS
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.18Advance Determination of Medicare Coverage (ADMC) of
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.18.1Items Eligible for ADMCs
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.18.2Instructions for Submitting ADMC Requests
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.18.3Instructions for Processing ADMC Requests
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.18.4Affirmative ADMC Decisions
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.18.5Negative ADMC Decisions
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.19DME MAC Tracking