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Linda Collins Blogger

Prescription Order Requirements: Who Can Write a Prescription?

Posted by Linda Collins | March 23, 2018

The DME MACs consolidated documentation requirements into one Local Coverage Article "Standard Documentation Requirements or All Claims Submitted to DME MACs" (A55426)

The article provides details about documentation on prescriptions, medical documentation, and proof of delivery. In this first of a series, we review the requirements for prescriptions.

 All DMEPOS claims require a prescription.

The prescription is also known as an "order" or "Detailed Written Order."

The physician signing the prescription is listed on the claim, along with the physician's NPI.

According to Medicare, the following may prescribe DMEPOS items:

  • Doctor of Medicine (MD),
  • Doctor of Osteopathy (DO),
  • Doctor of Optometry (OD),
  • Doctor of Medical Dentistry (DMD),
  • Doctor of Dental Surgery (DDS),
  • Doctor of Podiatric Medicine (DPM),
  • Physician assistants (PA), nurse practitioners(NP) and clinical nurse specialists (CNS). NOTE: the scope of practice is determined by state law.

As stated in the article, chiropractors are not permitted to prescribe DMEPOS items.

Signature stamps are not allowed. The physician's signature must be legible and authenticated (Frequently Asked Questions About Signatures.)

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