Most of the changes in the October update stem from previously posted clarifications and updates released by the DME MACs primarily related to the Face-to-Face rule. By periodically incorporating the updates into the LCD they ensure that providers can rely more heavily and consistently on the one-stop shop known as the LCD and policy article. However, there was a significant change to the documentation requirements for Proof of Delivery in instances where equipment is retained from a prior payer (the patient switches to Medicare for the first time).
The directive stipulates, “For the purposes of reasonable useful lifetime and calculation of continuous use, the first day of the first rental month in which Medicare payments are made for the item (i.e., date of service) serves as the start date of the reasonable useful lifetime and period of continuous use. In these cases, the proof of delivery documentation serves as evidence that the beneficiary is already in possession of the item.”
These changes will be incorporated into future LCDs and policy article revisions, which we will likely see published over the course of the upcoming months. To see the CGS notice including the full text of the updated language click here.