CMS tries to clear up PWC questions

Saturday, December 31, 2005

BALTIMORE - CMS officials did their best at a Nov. 17 Open Door Forum to clear up some confusion regarding power wheelchair billing. On Oct. 25, CMS implemented an interim final rule (IFR) that replaced the CMN for power mobility devices with a doctor's prescription; the IFR also requires the provider to obtain the patient's medical records prior to billing for the product. According to CMS officials: If a supplier has a written, detailed order for a power mobility device that was signed and dated by the treating physician prior to Oct. 25, but the wheelchair wasn't delivered and billed for until after Oct. 25, the DMERCs will not apply the requirements of the IFR if that claim is subjected to manual medical review. Instead, the prior documentation requirement will apply.