REIMBURSEMENT & CODINGNEWS
documentation for 7 years from the date of service and , upon the request of CMS or a Medicare contractor , to provide access to that documentation . The documentation includes written and electronic documents ( including the NPI of the physician who ordered the home health services and the NPI of the physician or the eligible professional who ordered or referred the DMEPOS , laboratory , imaging , or specialist services ) relating to written orders and requests for payments for items of DMEPOS and home health , laboratory , imaging , and
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with “ subscribe ” in the subject line . specialist services .
( 2 ) A physician who ordered home health services and a physician and an eligible professional who ordered or referred items of DMEPOS or laboratory , imaging , and specialist services is required to maintain documentation for 7 years from the date of the order , certification , or referral and , upon request of CMS or a Medicare contractor , to provide access to that documentation . The documentation includes written and electronic documents ( including the NPI of the physician who ordered the home health services and the NPI of the physician or the eligible professional who ordered or referred the DMEPOS , laboratory , imaging , or specialist services ) relating to written orders or requests for payments for items of DMEPOS and home health , laboratory , imaging , and specialist services .
Jurisdiction C DME MAC ’ s Medical Director , Robert D . Hoover , published a “ Dear Physician ” letter that reviews the general documentation requirements for referring / ordering physicians . Dr . Hoover ’ s letter reiterates the above information as well as reminds referring / ordering physicians that they cannot charge the billing provider / supplier or the beneficiary for the required documentation . Dr . Hoover ’ s letter is found here : http :// www . cgsmedicare . com / jc / forms / pdf / JC _ Physician _ D ocumentation _ Request _ Letter . pdf
Also , the Office of the Inspector General ( OIG ) U . S . Department of Health and Human Services provides physician educational resources on physician relationships with payers and vendors . These resources are found here : http :// oig . hhs . gov / compliance / physicianeducation / index . asp . The educational information discusses maintaining and providing documentation as well as the importance of legitimate prescriptions for patients .
As a billing provider / supplier , if you are asked and / or required to pay for or
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