CMS Rolls Out New DME Order Requirements

Providers and suppliers will only need to fill out one type of order for services rendered on or after Jan. 1.

All DMEPOS Medicare claims with dates of service on Jan. 1 or after will only require one type of order, known as the Standard Written Order (SWO).

In a Jan. 6 email to members, the American Association for Homecare detailed the new requirements designed to reduce the burden on suppliers and providers. The SWO replaces several other order types, including the preliminary/dispensing order, the Detailed Written Order, the Five Element Order/Written Order Prior to Delivery, the Seven Element Order and the Detailed Product Description.

“The SWO is intended to reduce supplier burden by unifying written order/prescription elements for all DMEPOS items,” the association wrote. “However, the required timeline of the orders will continue to differ depending on the item.”

SWOs must include several components, including the beneficiary’s name, order date, a general description of the item, the quantity to be dispensed, the treating practitioner’s name, and a signature from the practitioner.

For equipment orders, the SWO can include all concurrently ordered options or additional accessories that are separately billed, according to AAHomecare. The same goes for supply orders, which can include all concurrently ordered supplies that are separately billed.

"We believe this is [a] positive development for HME and after additional clarification on some of the elements, suppliers will be able to implement an easier order process," the association wrote in another email to members on Wednesday. 

AAHomecare has also convened a subgroup to evaluate the new guidance and will work with DME MACs to clarify questions about the new process. MACs are still updating all web pages, tutorials and other resources to reflect the change. More information about the new standard order process can be found on Noridian’s website.

About the Author

Haley Samsel is the Associate Content Editor of HME Business and Mobility Management.


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