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Modifying Medicare DME Face-to-Face Encounter Requirement

Friday, July 3, 2015   (0 Comments)
Posted by: Lynne Cobb
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MODIFYING MEDICARE DME FACE-TO-FACE ENCOUNTER REQUIREMENT – Recent legislation amended Medicare Statute to allow nurse practitioners to perform required face-to-face visits without physician documentation when ordering durable medical equipment ( DME) for their patients.  Below is the statute with the amended inclusions that authorize nurse practitioners to perform and document required face-to-face visits without a physician’s documentation. The statue may be shared if you encounter problems. 

"Sec 1834 (a)(11)(B)(ii) of the Social Security Act 
(42 U.S.C. 1395m(a)(11)(B)(ii) Requirement for face to face encounter 

The Secretary shall require that such an order be written pursuant to the physician documenting that a physician, a physician assistant, a nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1395x(aa)(5) of this title)has had a face-to-face encounter documenting such physician, physician assistant, practitioner, or specialist has had a face-to-face encounter (including through use of telehealth under subsection (m) and other than with respect to encounters that are incident to services involved) with the individual involved during the six-month period preceding such written order, or other reasonable time frame as determined by the Secretary."

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