Providers get relief from WOPD requirement

Tuesday, May 24, 2016

WASHINGTON – The DME MACs have clarified that a provider must obtain a five-element order prior to delivering equipment and a detailed written order prior to billing, according to AAHomecare. “Note the change to allow a DWO to be obtained before billing,” the association stated. AAHomecare then requested clarification on the denials and appeals currently in the system based on previous guidance that a WOPD does not meet the DWOPD requirement. The response from the MACs: “Changes in policy guidance are effective for dates of service on or after the article’s publication unless otherwise specified in that article.” AAHomecare’s take: “This would mean that the appeals process needs to be used for any claim previously denied.” Overall, the association says, “This development is good news for the HME community and provides some relief related to WOPD requirements.”