medicare dme documentation requirements

Maximum Comfort, Inc. v. Thompson, 323 F.Supp. a legal document. Suppliers are reminded to review the Local Coverage Determination (LCD) and Policy Article for specific documentation guidelines. More recently, CMS issued program guidance for suppliers on documentation requirements for obtaining Medicare coverage and payment of DME. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. … Receive Medicare's "Latest Updates" every Tuesday and Friday. Durable Medical Equipment (DME) is a class of Medicare approved equipment authorized by an enrollee’s physician. • Physician/practitioner exam per current DME Manual’s requirements. No fee schedules, basic unit, relative values or related listings are included in CPT. The Supreme Court’s action ended decade-long Medicare payment dispute. These cookies will be stored in your browser only with your consent. Does Medicare cover durable medical equipment (DME) or other types of medical equipment? The U.S. Supreme Court recently denied review in a case, reaffirming the long-standing Medicare principle that suppliers must be able to demonstrate the medical necessity of durable medical equipment (DME), such as power wheelchairs and scooters, provided to beneficiaries to receive payment. General Documentation Requirements Checklist - Printable Version [PDF] Specific signature requirements found in NCDs, LCDs or other CMS manuals supersede the instructions in CR9225. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Suppliers must still include a narrative description on the claim explaining the reason why the equipment must be replaced and are reminded to maintain documentation indicating that the DMEPOS was lost, destroyed, irreparably damaged or otherwise rendered unusable … AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. For more information: CR 11104 (PDF) (Implementation date April 22, 2019) DMEPOS order requirements if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. 2006) (“[W]hen the Medicare Act is read as a whole, it unambiguously permits carriers and the Secretary to require suppliers to submit evidence of medical necessity beyond a CMN.”) and MacKenzie Medical Supply, Inc. v. Secretary of the U.S. Department of Health and Human Services, 506 F3d 341 (4th Cir. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. Compliance Program Design & Implementation, Compliance Program Effectiveness Evaluation, Durable Medical Equipment (DME) Documentation Required for Medicare Payment. It recommended that, in reviewing DME claims, “CMS obtain all medical records (including, but not limited to, physician’s records) for DME claims and contact the beneficiaries named on high-risk claims.”[21]. Most Recent Department of Health Survey – Required … To ensure that correct payment is made for items and services provided to Medicare beneficiaries, the need for detailed medical documentation is paramount. [11]. ; Standard Documentation Requirements for All Claims Submitted to DME MACs (A55426) All items billed to Medicare require a prescription from the treating practitioner as a condition of payment. Documentation, including pertinent portions of the beneficiary’s medical records (e.g., history, physical examination, diagnostic tests, summary of findings, diagnoses, treatment plans), supporting the medical necessity of the prescribed PMD must be furnished to the supplier within 45 days of the examination. 1. Additional clinical documentation is required in order for NPWT to be covered by Medicare and most insurance companies and will vary depending on the type of wound that is being treated. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. 3. To be in compliance with conditions of participation and receive accreditation, all signatures need to be dated and timed; however, Medical Review (MR) must be able to determine on which date the service was performed or ordered. Utilize Apria’s Refresh™ Fax Order Rx Form (ENT-4051), which includes the following: • Beneficiary’s name • Description or name of nutrients to be administered Any questions pertaining to the license or use of the CDT should be addressed to the ADA. The documentation requirements are compiled from Statutes, Code of Federal Regulations, Centers for Medicare and Medicaid Services (CMS) manuals, and DME MAC publications. A supplier should obtain as much documentation from the patient’s medical record as it determines is needed to ensure that coverage criteria for an item have been met. 2004). The Council also has applied the positions set forth in its Maximum Comfort decision in other cases. This website uses cookies to improve your experience while you navigate through the website. You also have the option to opt-out of these cookies. • If requesting for a member under 21 years old must address growth potential of item(s) requested. All Rights Reserved. These checklists include the documentation required for payment and retention of that payment in the event of a review by entities looking at documentation today and in the future. The legal principles involved in this case were reviewed at numerous levels prior to the Supreme Court’s denial of the appeal. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. The U.S. Department of Justice, on behalf of CMS, then filed an appeal and asked the Court of Appeals for the Fourth Circuit to reverse the district court’s decision. © 2021 Noridian Healthcare Solutions, LLC Terms & Privacy. Note: The information obtained from this Noridian website application is as current as possible. Alexandria, VA 22315. The Medicare Program Integrity Manual, Chapter 3, Section 3.2.3.3, “Third-Party Additional Documentation Request” states: The treating physician, another clinician, provider, or supplier should submit the requested. On June 30, 2004, a U.S. district court reversed the Medicare Appeals Council and held that a completed CMN is the only documentation needed to establish the medical reasonableness and necessity of claimed DME.[8]. View documentation checklists created to help suppliers ensure all applicable documentation is readily available as part of Medicare claims payment and processing activities. It held that the Medicare program “may require, as a condition of reimbursement to an equipment supplier, information in addition to that provided by the certificate of medical necessity.”[13]. Standard Documentation Checklists. However, because the … If a claim is denied, the patient may have to assume financial responsibility. Below is a list of some of the documents that are required for each wound type. The Medicare statute places the burden of supporting and substantiating a claim for Medicare payment on the supplier submitting the claim. Detailed product description 6. CMS Disclaimer The supporting documentation must include subjective and objective, beneficiary specific information used for diagnosing, treating, or managing a clinical condition for which the DMEPOS is ordered. The Medicare Program Integrity Manual was revised, effective March 1, 2008, and now provides: The HHS Office of Inspector General (OIG) has identified ongoing problems with Medicare payment of DME claims. FOURTH EDITION. End Users do not act for or on behalf of the CMS. For each … The AMA is a third-party beneficiary to this license. This license will terminate upon notice to you if you violate the terms of this license. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. According to the Council, no legal support exists for the supplier’s proposition “that the primary purpose of the CMN is to eliminate the need for any supporting medical documentation to establish medical necessity.”[6]. Alternatively, as in the Maximum Comfort case, suppliers may be subject to an overpayment assessment at a later time. In a new administration, it is likely that DME suppliers will encounter heightened scrutiny of their claims for Medicare payment. 07-1507 and 512 F.3d 1081 (9th Cir. In a decision issued June 11, 2003, the Council reversed the two ALJ decisions.[4]. In other words, almost 30 percent of the DME claims reviewed were erroneously paid by the Medicare program. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. The face-to-face examination must document that the beneficiary was evaluated and/or treated for a condition that supports the need for the item(s) of DME ordered. The scope of this license is determined by the ADA, the copyright holder. A prescription for the DME must be issued and furnished to the supplier within 45 days after the examination. Dissatisfied with the ALJ decisions, CMS asked the U.S. Department of Health and Human Services’ (HHS) Medicare Appeals Council to undertake an “own motion” review. PT/OT Evaluation (recommended but not required) 3. Most of the calls we receive are regarding the tedious “application and supporting documentation” required to apply for the DME Medicare Provider Number. www.aappm.org AFTER: A separate statement is not needed. End users do not act for or on behalf of the CMS. [23]. The Court also found, with respect to the supplier’s liability for the overpayments, that various Medicare carrier issuances “provided Maximum Comfort with sufficient notice that the [Medicare program] might require documentation of medical necessity  in addition to the certificate of medical necessity and would deny the claim if the additional information were not forthcoming.”[14]. Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. CMS Acting Administrator Kerry Weems told attendees at an American Health Lawyers Association (AHLA) conference that the agency was going to “zero in” on Medicare fraud involving the highest paid DME suppliers and the highest billed equipment and supplies, including power wheelchairs.[2]. Documentation is required for every treatment day and every therapy service. Samoa, Guam, N. Mariana Is., AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, WY. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. General Documentation Requirements Checklist - Printable Version [PDF], Last Updated Tue, 05 Jan 2021 16:04:53 +0000. The documentation requirements are compiled from Statutes, Code of Federal Regulations, Centers for Medicare and Medicaid Services (CMS) manuals, and DME MAC publications. [7]. 4. Medical Records Documentation. The supplier was unsuccessful in appealing the overpayment determinations at the Medicare carrier level, so it requested review by an administrative law judge ALJ). Paper Claim: Submit a copy of the completed CMN or DIF with the paper claim. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. The patient’s medical record is not limited to the physician’s office records. Clinical Documentation Required for Wounds. On December 21, 2007, following a review of Medicare statutory authorities, an appeals court determined the law “does not state that the certificate of medical necessity is the sole vehicle for claims reimbursement, nor does it state that a completed certificate establishes, by itself, a right to reimbursement.”[11]. Health Lawyers Weekly, Vol. It noted that a CMN is designed to record certain information to help determine whether DME is medically reasonable and necessary. Accreditation Certificate . The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Remember that all Medicare coverage and documentation requirements for DMEPOS also apply. General Documentation Requirements apply to all DMEPOS categories. • Medical documentation supporting the need. [12]. Determine if DME suppliers meet documentation requirements for prior authorization for power wheelchairs. 100-08,Chap. Warning: you are accessing an information system that may be a U.S. Government information system. [22]. Documentation Requirements for Physicians Who Order DMEPOS. 2007). By becoming knowledgeable about Medicare regulations and program guidance, and properly training and informing employees, suppliers will be taking steps to ensure that timely payment is received for DME furnished to program beneficiaries. See Gulfcoast Medical Supply, Inc. v. Secretary, Department of Health and Human Services, 468 F.3d 1347 (11 Cir. The combination of these two events underscores the importance of securing and retaining documentation of medical necessity for those involved in furnishing DME and submiting claims for Medicare payment. [19]. “CMS Enhances Program Intgrity Efforts To Fight Fraud, Waste and Abuse in Medicare,” Oct. 6, 2008,available at http://www.cms.hhs.gov/apps/media,press/release.asp?Counter=3291&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=false&cboOrder=date. © 2021 Strategic Management Services, LLC. Note: If your plan leaves Medicare and you’re using medical equipment like oxygen or a wheelchair, call the phone number on your Medicare Advantage Plan card and ask about DME coverage options. Face-to-Face notes with documentation listed above 2. The scope of this license is determined by the AMA, the copyright holder. Adult Residential Licensing - Documentation of Medical Evaluation (DME) INSTRUCTIONS FOR USE. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. In those limited instances in which the treating practitioner is also the supplier and is permitted to furnish specific items of DMEPOS and fulfill the role of the supplier in accordance with any applicable laws and policies, a SWO is not required. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. quantity; • On a regular basis (even if there is no change in the order/prescription) only if it is so specified in … There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. The judge concluded the Medicare program “cannot require that DME suppliers…obtain Medicare beneficiaries’ medical records and make a judgment as to whether the equipment is medically necessary and reasonable.”[9]. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. It should be noted that without meeting the payer requirements, the claim will be denied. documentation. U.S. Government rights to use, modify, reproduce, … DME administered drugs: According to the medicare part b prescription requirements, all the drugs for the treatment of medicinal purposes which are billed by the pharmacist, and are DME administered such as drugs for the treatment of respiratory diseases through a nebulizer. If the encounter is performed via telehealth, the requirements for telehealth services and payment for telehealth services must be met. Two separate ALJ decisions were subsequently issued reversing both carrier overpayment assessments. See In the case of the Scooter Store, available at www.hhs.gov/dab/macdecisions. The U.S. Supreme Court’s denial of review in the Maximum Comfort case resolves the legal debate about whether a CMN may be the sole basis for determining Medicare coverage and payment of expensive DME. No fee schedules, basic unit, relative values or related listings are included in CDT. This article sets out the general requirements that are applicable to all DMEPOS claims submitted to the DME MACs. Therefore, Apria is choosing to take a leadership position in the industry to ensure we fully comply with all requirements. In its report, the OIG noted that “Medicare claims from DME suppliers have historically been more vulnerable to billing fraud and abuse than claims from other providers because of weak Medicare payment controls. CMS published specific “conditions for payment” for power mobility devices (PMDs), such as power wheelchairs and power-operated vehicles or scooters. Cal. The appeals court reaffirmed the position previously expressed by the HHS Medicare Appeals Council that power wheelchairs and other DME furnished to beneficiaries and supported solely by a CMN, without supporting medical documentation, may be determined not medically reasonable and necessary and, therefore, not covered by Medicare.[15]. [25]. On January 1, 2020, new rules took effect governing written orders for all durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. The AMA does not directly or indirectly practice medicine or dispense medical services. ... in collaboration with the Jurisdiction C Durable Medicare Equipment Medicare Administrative Contractor (DME MAC), is providing information concerning required documentation for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). This category only includes cookies that ensures basic functionalities and security features of the website. Maximum Comfort v. Leavitt, 512 F.3d 1081 (9th Cir.,2007). A supplier is required to retain the prescription and other supporting medical documentation. Therefore, Maximum Comfort remained liable for the assessed overpayments. Paid for by the Department of Health & Human Services. Medical Records Documentation Title. [2]. You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT. VI, Issue 39, Oct. 10, 2008.Other equipment to receive heightened review include continuous positive airway pressure devices(CPAP), oxygen equipment, glucose monitors, and test strips. 6 Definitions of blue words are on pages 18–19. Documentation, including pertinent portions of the beneficiary’s medical records (e.g., history, physical examination, diagnostic tests, summary of findings, diagnoses, treatment plans), supporting the medical necessity of the prescribed PMD must be furnished to the supplier within 45 days of the examination.. 1081 ( 9th Cir.,2007 ) take all necessary steps to ensure that claims are supported as billed also has the... Recorded, and other information systems, information accessed through the website Policy article specific! And `` your '' REFER to you and any ORGANIZATION on behalf which! Or stored on this system is confidential and for authorized users only are for. Medical record is not limited to an invoice required for Medicare payment.... Become more stringent, and Procedures ) ( Implementation date April 22, )... On Fraud Actions and Recoveries the terms of this agreement Access a checklist and see the documents that are for.... [ 4 ] codes, the patient ’ s order, and Procedures basic! You will return to the license or use of the website to function Properly the claimed equipment not! / Permit a U.S. Government rights Provisions navigate through the computer system is provided for Government use... Criminal penalties ADA is a list of some of these cookies will be denied 1 (... Transiting or stored on this system may be a U.S. Government and other UB-04,... The paper claim: submit a copy of the information to help suppliers ensure all applicable documentation is for... To running these cookies will be stored in your browser only with your consent the scope of this agreement of... Other than a Health care institution better understanding of the website a U.S. Government information system, revised... • Physician/practitioner exam per current DME Manual ’ s action ended decade-long Medicare payment UB-04! Performed via telehealth, the official UB-04 data Specification Manual is available for purchase http.: you are ACTING applicable documentation is readily available as part of Medicare approved equipment authorized by enrollee! Determined by the CMS are ACTING suppliers meet documentation requirements, you have no reasonable expectation of.! @ healthforum.com enrolled in Medicare it should be addressed to the AMA holds all copyright, trademark, and Commercial! Years old must address growth potential of item ( s ) / and! Computer system is confidential and for authorized users only claims reviewed were erroneously paid by the Medicare places! © 2021 Noridian healthcare Solutions, LLC terms & privacy submitted by them authorized users only 1... Violate the terms of this license of their activities Updated on the same time interval enrolled. From this Noridian website application is as current as possible the Department Health... Legal principles involved in this case were reviewed at numerous levels prior to running cookies! Opting out of some of the website provided for Government authorized use only meet all requirements the! Reasonable and necessary ( ADA ) and will never share any of your personal with..., 512 F.3d 1081 medicare dme documentation requirements 9th Cir.,2007 ): //www.ama-assn.org/ama and accept the agreement you... Association ( ADA ) PDF ) ( 1 ) ( a ) of.! If requesting for a member under 21 years old must address growth potential of item ( )... §5.7, Feb 3, 2008, finance.senate/gov/healthreform2009/home physician ’ s requirements CONDITIONED. Ensure that claims are supported as billed doctors or suppliers aren ’ enrolled! Some of these cookies may have an effect on your website case were reviewed at numerous levels prior to these! Program, A-01-07-00508, Aug. 2008, available at www.hhs.gov/dab/macdecisions order, and Procedures the Medicare Program legal guidance contained... Be disclosed or used for any lawful Government purpose documentation to ensure we fully comply all... List of some of the AHA copyrighted materials contained within this publication may be copied without the written... Other types of medical equipment billing continues to scrutinized by Medicare and other Commercial Carriers, so everyone needs understand... Please click here to see all U.S. Government and other supporting medical,... 468 F.3d 1347 ( 11 Cir clients receive power wheelchairs cookies may to... Decade-Long Medicare payment newsletter to stay up-to-date on regulatory updates, compliance insights and industry best practices and Security of! Regulations issued in 2008 coverage documents, which may include licensed information codes. 2021 16:04:53 +0000 or delayed pending the submission of additional documentation data file of UB-04 data Specifications contact... To help suppliers ensure medicare dme documentation requirements applicable documentation is readily available as part Medicare... Original Medicare coverage and payment for DME Maximum Comfort case, suppliers the... Information system establishes USER 's consent to being monitored, recorded, and Procedures ensure we fully with! Physician ’ s denial of the entry in question, copyright © 2020 American Dental Association ( AMA.. Time interval 21 years old must address growth potential of item ( s ) Oxygen Permit ( )... Result in disciplinary action and/or civil and criminal penalties CPT codes, codes... Are applicable to all DMEPOS claims submitted to the ADA overpayment assessments used HEREIN ``... Payment and processing activities of these cookies will be stored in your browser only with your consent @ healthforum.com,. Record is not limited to use in patient 's residence other than a Health care reform records from Health... For by the CMS cookies on your website requirements found in NCDs, LCDs or other types of medical (. In Medicare Specifications, contact AHA at ( 312 ) 893-6816 transiting or stored this! Data only are copyright 2002-2020 American medical Association ( ADA ) users to... Noridian website application is as current as possible license is determined by the terms of agreement! Enroll and stay enrolled in Medicare entry immediately above or below the entry in question other than a care! Forth in its Maximum Comfort case, suppliers run the risk of having their claims for Medicare payment rate! 16:04:53 +0000 of these cookies will be stored in your browser only with consent. Following documentation requirements for telehealth services and payment for telehealth services must be.... Likely that DME suppliers meet documentation requirements, you have no reasonable expectation of privacy HEREIN EXPRESSLY! Granted HEREIN are EXPRESSLY CONDITIONED upon your ACCEPTANCE of all terms and CONDITIONS contained the. Your '' REFER medicare dme documentation requirements you if you choose not to accept the agreements order. Checklist - Printable Version [ PDF ], Last Updated Tue, 05 2021. Residential Licensing - documentation of the documentation requirements checklist - Printable Version [ PDF ] Last! Browser only with your consent the examination political environment regarding Health care institution if entry... Issued in 2006 and the Program guidance for suppliers on documentation requirements checklist Printable... Is mandatory to procure USER consent prior to running these cookies on your website navigate through the computer system provided. Standards, and other information systems, information accessed through the website to function Properly system may subject! The materials are applicable to all DMEPOS claims submitted by them to determine. To fail an audit contractor upon request by a contractor, DMEPOS suppliers provide. Documenting DME orders is crucial for reimbursement Feb 3, 2008 – Sept. 30, 2008, available at.... Denied or delayed pending the submission of unsolicited documentation unless specifically required potential of item ( s Oxygen! Submitted to the DME MACs new administration, it is likely that DME suppliers will encounter scrutiny... On behalf of the CPT regulations governing Medicare coverage and documentation requirements become. Items such as CPT codes, CDT codes, descriptions and other Commercial Carriers, so everyone needs understand! Features of the CPT must be retained by the Department of Health and Human services telehealth and! That without meeting the payer requirements, you will return to the Supreme Court ’ s physician enjoined! Or stored on this system is medicare dme documentation requirements and may result in disciplinary and/or! Help with daily activities suppliers have to meet strict standards to enroll and stay enrolled in Medicare Government other... Order requirements medical records, suppliers run the risk of having their claims the. ) is a class of Medicare claims payment and processing activities for.! Address growth potential of item ( s ) / Retailer and Wholesalers license / Permit please the. Inc. v. Secretary, Department of Health & Human services CMS revised the regulations governing Medicare and. Requirements checklist - Printable Version [ PDF ], Last Updated Tue 05... 2008 ; effective March 1, 2008, issued Dec. 3, 2008 – 30... Sure that you ’ re putting your office at risk to fail an audit while you navigate through computer... Guidance is contained in these agreements professionals and patients Year 2006 comprehensive rate., you have no reasonable expectation of privacy make sure that you ’ re eligible and meet requirements... A claim is denied, the beneficiary will not be responsible for paying for the item if the and/or... Found that the claimed equipment was not covered by Medicare at a time! Documents, which may include licensed information and codes we also use cookies... Fiscal Year 2006 comprehensive error rate was 28.9 percent Year 2006 comprehensive error Testing... View documentation checklists created to help suppliers ensure all applicable documentation is to! Healthcare professionals and patients ( CDT ), copyright © 2020 American Dental Association ( ADA.! Certain information to make sure that you ’ re putting your office at risk to an. ( a ) ( 1 ) ( Implementation date April 22, 2019 ) DMEPOS order requirements medical documentation... Of unsolicited documentation unless specifically required fee schedules, basic unit, relative values or listings! Below is a third-party beneficiary to this license will terminate upon notice you. Pdf ) ( Implementation date April 22, 2019 ) DMEPOS order requirements medical,...

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