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Say Goodbye To CMNs, Say Hello To Administrative Nightmares
You'll receive $21.60 extra for coping with documentation demands


As of Oct. 25, your doctors will have to see patients face-to-face before they prescribe any power wheelchairs or scooters.

The Centers for Medicare & Medicaid Services implemented the face-to-face requirement in an interim final rule on Power Mobility Devices (PMDs) such as power wheelchairs and scooters. Unlike an earlier rule, which would have applied to all durable medical equipment, this requirement only applies to PMDs, however.

Good news: Your doctors will no longer have to fill out and sign the certificate of medical necessity (CMNs) for PMDs. Also, CMS is deleting the requirement that only specialists in physical medicine, orthopedic surgery, neurology or rhematology can prescribe power scooters.

Not-so-good news: Physicians will have to provide written prescriptions for PMDs, plus copies of any relevant documentation from the patients' files, to wheelchair suppliers. The suppliers must have that documentation in their files when they bill Medicare.

New code: CMS is creating a new add-on "G" code for providing wheelchair documentation to suppliers, and it'll reimburse around $21.60 in 2005.