The face-to-face examination is a statutory requirement for all power mobility devices (PMD). This exam consists of two separate elements, an in-person visit to the physician for the purpose of requesting a PMD, and a comprehensive medical examination. The evaluation should be tailored to the individual patient's conditions. The wheelchair or walker must be appropriate for use in the home (although it may also be used outside of the home as well). The wheelchair or walker must be considered "durable," or able to withstand repeated use and likely to last for three years or more. The item must serve a medical purpose. Manual wheelchairs and power-operated vehicles are covered under this benefit as long as you meet specific criteria. your DME supplier will usually submit a prior authorization request and all documentation to Medicare on your behalf. Medicare will review the information to make sure that you're eligible and meet all requirements for the requirements be met and documented: 1. An in-person visit with a physician specifically addressing the client's mobility needs. 2. A history consisting of a medical evaluation performed by the ordering physician or other medical professional (e.g., the occupational therapist) focusing on an assessment of the In order to document the need for a PMD there are a few specific statutory requirements that must be met before the prescription is written: An in-person visit between the ordering physician and the beneficiary must occur. This visit must document the decision to prescribe a PMD. A medical evaluation must be performed by the ordering physician. Your doctor and the mobility equipment supplier must submit orders and documentation that meet various Medicare requirements. If you cannot use a manual wheelchair, you may get coverage for a power wheelchair or scooter; however, you must have an in-person exam with your doctor. Your doctor must submit an order to Medicare recommending the o Documentation of upper extremity function and other physical and mental capabilities to safely self-propel the wheelchair Primary setting of wheelchair use (e.g., home, community) Other mobility assistance devices currently used Home/safety evaluation assessment *For code descriptions, refer to the CODING NEOPLASMS IN ICD-10-CMHow to use the HCPCS Code Book Introduction to the 2020 CPT Manual Medicare Billing Guidelines | Medicare Parts A, B, C and D Tabbing the ICD10CM Coding Book Avoiding Costly Medicare Mistakes Documentation Requirements Lookup Service - 2019 CMS National Provider Compliance Conference Surgery, the Ultimate Placebo This will help ensure a timely response from Blue Cross NC; reduce the need for additional phone calls, faxes, emails and appeals; and deliver the requested DME to your patients as soon as possible. Manual and Power Wheelchair Repair: Date of purchase for wheelchair. Payer of wheelchair. Make, model and serial number of current chair. Medicare Documentation Requirements | Charron Medical Medicare Requirements Medicare guidelines are managed by the Centers for Medicare and Medicaid (CMS). It can be confusing, so please call us and we can review your specific situation to see if you qualify for the Durable Medical Equipment your doctor has prescribed for you. 603-889-7220 Power Wheelchairs and Power Operated Vehicles - Documentation Requirements -