GAINSVILLE, Fla. (Oct. 21, 2013)—DMEevalumate.com has applied its functionality of correctly documenting medical justification for power mobility devices to develop the first online questionnaire for respiratory equipment.
“We are excited to be able to offer the first truly interactive electronic template that allows practitioners to accurately document and produce complete medical justification for oxygen, CPAPs and BiPAPS,” said DMEevalumate.com cofounder Jamie Loper.
When using DMEevalumate.com during a face-to-face evaluation, medical professionals select the equipment that the patient needs: home oxygen, PAP or PAP with oxygen bleed. After answering a series of questions on the web-based template, the algorithmic program ensures all necessary information is documented. All mandatory questions must be answered before the user moves on to the next section. The program then applies coverage and coding criteria to the answers for instant determination and complete medical justification for that piece of equipment.
“The question and answer process takes less than 10 minutes and DME providers and practitioners no longer have to spend hours researching and second-guessing what information is required,” Loper added. “DMEevalumate.com generates the Medicare-required outputs related to the piece of equipment a practitioner prescribes. Upon receiving this paperwork for vended equipment, DME providers can file accordingly in preparation for prepayment audits.”
Unlike power mobility documentation requiring face-to-face evaluation documentation and a seven-element order, different documentation is required for respiratory equipment, depending on a patient’s needs. These differing documentation requirements are a source of confusion for doctors and providers.
“DMEevalumate.com ensures that the practitioner addresses all of the medical coverage criteria questions, eliminating the most frequent denial for PAP therapy which occurs in the 31 to 90 day recertification timeframe.”
As well as producing accurate and complete documentation, DMEevalumate now has a team of training and marketing managers and Medicare coverage criteria consultants; offering extensive customer support at no additional cost.
Effective July 1, 2013 (delayed enforcement until 2014), the new face-to-face requirement means that a patient can no longer simply call their primary care physician to request and receive a prescription for more than a hundred DME devices. Instead, they will need to schedule an appointment for a face-to-face evaluation with their physician, and that patient visit must have medical justification documentation for a piece of equipment.
Loper explains that this further impacts the DME provider because failure to obtain the required documentation will result in the denial of the claim, when reviewed in a pre-or post-payment audit. DME providers can expect more audits if their files do not pass inspection.
For more information, join the growing DMEevalumate.com community and register today for a 90-day trial period under no obligation by calling (800) 986-9368.
