Bill Correctly: Power Mobility Devices

The Power Mobility Devices booklet (PDF) explains how to properly document and bill for power mobility devices (PMD). Follow these steps to bill for PMD:

•  Obtain the Standard Written Order (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; and proof of delivery
• Review all information to avoid improper payments

An Office of Inspector General report stated that Medicare improperly paid claims for PMD repairs. To properly bill for PMD repairs:

• Show repairs are reasonable, necessary, or meet the requirements
• Document labor time adequately
• Show that DMEPOS suppliers must provide repair warrantees
• Specify that wheelchair repair costs can’t exceed a certain amount over a device’s 5-year lifetime

More Information:

• 42 CFR 414.210
• Section 110.2 Medicare Benefit Policy Manual, Chapter 15
• Section 510.1 Medicare Program Integrity Manual, Chapter 5