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Linda Collins Blogger

Proof of Delivery Clarification

Posted by Linda Collins | February 16, 2015

The DME MACs recently released a joint publication with information about Proof of Delivery (POD) details and requirements. The article clarifies the purpose of the POD and the format of specific items.

The Proof of Delivery is a DMEPOS Supplier Standard and is required for all items delivered to a Medicare beneficiary. The POD, which is signed by the beneficiary at time of delivery, serves to confirm the exact items the beneficiary receives. See Proof of Delivery Requirements.

During a medical review process, the DME MACs will also use the detailed description of items listed on the POD to determine if correct coding was used on the claim submission. The reviewer must have enough information on the POD to determine the item delivered is the item being billed, the correct HCPCS code is being used, and the beneficiary did receive the item.

The DME MACs have now stated that simply listing the HCPCS code with the code narratives is not enough detail for a Proof of Delivery to be valid. Further, the DME MACs have stated that PODs that fail to properly identify this information may result in the entire claim being denied.

What does this mean for you?

Check your process for listing items delivered. Instead of simply listing the HCPCS codes, provide the brand name and model number, brand name and serial number or manufacturer name and part number to identify the product. If you do not have this information, you may provide a detailed narrative of the product. Avoid simply restating the HCPCS description.

You may read the full article here.

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