F2F requirement gets easier

Wednesday, April 22, 2015

WASHINGTON – The just-passed “doc fix” bill includes a provision that expands who can conduct the face-to-face exam required for DME. The provision modifies the requirement to allow physicians, physician assistants, practitioners, or specialists to conduct the exam. Industry stakeholders have long held that limiting who can document the face-to-face exam to physicians would result in delays in equipment and services. CMS implemented the face-to-face requirement on July 1, 2013, but it hasn’t started enforcing the requirement yet, some say because the agency has also been waiting for Congress to make this change. CMS also implemented the written order prior to delivery requirement on July 1, 2013, and it started enforcing the requirement on Jan. 1, 2014.