FDAnews Device Daily Bulletin

A new Medicare Physician Fee Schedule requirement that doctors document an in-person encounter with beneficiaries before being reimbursed for durable medical equipment (DME) they provide has some in the industry worried that suppliers may not be paid. In order to be paid for certain covered items of DME, “a physician must have documented and communicated to the DME supplier that the physician or a [physician’s assistant, nurse practitioner or clinical nurse specialist] has had a face-to-face encounter with the beneficiary no more than 90 days before the order is written or within 30 days after the order is written,” the Centers for Medicare & Medicaid Services said.
Devices & Diagnostics Letter