Bill Correctly: Power Mobility Device Repairs

An Office of Inspector General report stated that Medicare improperly paid claims for PMD repairs when suppliers didn’t provide sufficient documentation to support billing charges. The Power Mobility Devices booklet explains how to properly document and bill for PMD repairs.

Follow these steps to bill for repair charges:

• Check the SWO
• Make a prior authorization request
• Complete a home assessment
• Keep the following documents: SWO; face-to-face visit supporting documents; written home assessment report; proof of delivery; records describing repairs, including a detailed explanation that justifies components of parts replaced and labor time to fix the item
• Review all information to avoid improper payments

More Information:

• 42 CFR Section 414.210
• Centers for Medicare & Medicaid Services Internet-Only Manual (CMS IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 110.2
• CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 5, Section 510.1

Posted 12/14/2022