1 MLN Matters 10984 Related CR MM10984 Order Requirements When Prescribing Practitioner is also the Supplier and is Permitted to Furnish Specific Items of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) MM10984 10984 Related Change Request (CR) Number: MLN Matters Number: Related CR Release Date: October 12, 2018 Effective Date: November 13, 2018 Related CR Transmittal Number: R834PI Implementation Date: November 13, 2018 PROVIDER TYPE AFFECTED This MLN Matters Article is intended for prescribing practitioners who also supply Durable Medicare bill Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Administrative Contractors (MACs) for DMEPOS provided to Medicare beneficiaries. PROVIDER ACTION NEEDED the requirements of Centers for Medicare & Medicaid Change Request (CR) 10984 clarifies Services (CMS) for a written order when the prescribing practitioner is also the supplier, and is permitted to furnish specific items of DMEPOS. WHAT YOU NEED TO KNOW When the prescribing practitioner is also the supplier, and is permitted to furnish specific items of DMEPOS, a separate order is not required, but the medical record must still contain all of the required order elements. Please note that nothing in this policy affects the application of the Physician Self-Referral Law. MACs will look to the entirety of the medical record, in those limited instances in which the prescribing practitioner is also the supplier permitted to furnish specific DMEPOS, to fulfill the elements of the written order. MACs will not expect the practitioner to write a separate order to himself/herself. ADDITIONAL INFORMATION The official instruction, CR issued to your MAC regarding this change is available at 10984 Guidance/Guidance/Transmittals/2018Downloads/R834PI.pdf . 2 Page 1 of

2 MM10984 Related CR 10984 MLN Matters If you have questions, your MACs may have more information. Find their website at -website-list . DOCUMENT HISTORY Date of Change Description rticle Initial a ctober 15, 2018 . eleased r O This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article : Disclaimer may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2017 American Medical Association. All rights reserved. Copyright © 2018, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893- 6816. Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of -04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual or any portion thereof, the UB o including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. T license the electronic data file of UB-04 Data Specifications, contact Tim Carlson at (312) 893-6816 or Laryssa Marshall at (312) 6814. You may also contact us at 893- [email protected] on (the “AHA”) has not reviewed, and is not responsible for, the completeness or accuracy of any The American Hospital Associati information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates. 2 Page 2 of

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