Advance Determination Medicare Coverage (ADMC)

7.2.2.9 - Advance Determination Medicare Coverage (ADMC) (Rev. 444, Issued: 12-14-12, Effective: 04- 01- 13 (FISS and MCS); 07-01-13 (VMS); Implementation: April 1, 2013 (Implementation of FISS and MCS); July 1, 2013 (Implementation of VMS) At the request of a supplier or beneficiary, the DME MAC may determine in advance of delivery of an item whether payment for that item is medically necessary. The request must contain adequate information from the patient’s medical record to identify the patient for whom the item is intended, the intended use of the item, and the medical condition of the patient that necessitates the use of the item.