All 4 Jurisdictions sent a notification with scenarios regarding the face to face examination date on a 7-element order for power mobility devices.
What date should be reported on the 7-element order for the F2F examination for PMDS? Once the physicians has evaluated and reviewed all the documents for the PMD device. This could be the same date of the patient evaluation or afterwards.
Here are a couple of scenarios to keep in mind as well:
- The F2F examination has been completed, but the physician later identifies that there is information not properly documented in the medical record about the beneficiary which is necessary to support coverage criteria for a PMD. If the physician provides an amendment, correction or addenda to the F2F examination with information that arose from the previously performed F2F evaluation (both #1 & #2 above), the F2F examination date does not change on the 7-element order. The amendment, correction or addenda to the F2F evaluation should appear in the beneficiary’s medical record.
- The F2F examination has been completed, but the physician later identifies that there is information that was not addressed during the F2F examination (both #1 & #2 above) which is necessary to support coverage criteria for a PMD. The physician must provide this new information in the medical record but since this was not a part of the original F2F, this does require a new in-person visit for the patient with the physician. This new F2F visit date becomes the F2F date on the 7-element order.
To review the complete notification, please click on the link below.