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Effective August 7, 2018, a detailed written order will no longer require a start date, only an order date. The date of the order should be the date entered by the prescribing physician. A detailed written order is required prior to billing Medicare. The detailed written order for non-drug DMEPOS shall include: • Beneficiary name • A description of the item • Date of the order • Physician/practitioner signature You can view the change request here: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R806PI.pdf  

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