CMS makes face-to-face changes official
WASHINGTON – CMS has updated its website to reflect a new law that allows a nurse practitioner, physician assistant or clinical nurse specialist to document a written order for DME following a face-to-face encounter. Originally, they could conduct the face-to-face encounter, but they needed a sign-off from a physician. CMS also stated on its website: “CMS will not start actively enforcing or expect full compliance with the DME face-to-face requirement until further notice.” The delay in enforcement applies to DME MAC, RAC, ZPIC and PSC reviews, but does not apply to CERT audits. The agency implemented the face-to-face rule on July 1, 2013, but hasn’t started enforcing it yet. CMS began enforcing a rule requiring detailed written orders on Jan. 1, 2014.