The date delivered on the POD must be the date that the DMEPOS item was received by the beneficiary or designee. The description can be either a narrative description (e.g., lightweight wheelchair base), a HCPCS code, the long description of a HCPCS code, or a brand name/model number A description of the item(s) being delivered.In this case, POD to a beneficiary must be a signed and dated delivery document. Suppliers may deliver directly to the beneficiary or the designee. Method 1 - Direct Delivery to the Beneficiary by the Supplier Delivery of items to a nursing facility on behalf of the beneficiary.Delivery via shipping or delivery service.Delivery directly to the beneficiary or authorized representative.Regardless of the method of delivery, the contractor must be able to determine that the item(s) delivered are the same item(s) submitted for Medicare reimbursement and that the item(s) were received by a specific beneficiary: Suppliers who consistently fail to provide documentation to support their services may be referred to the Office of Inspector General (OIG) or the National Provider Enrollment for investigation and/or imposition of sanctions.Īs a general Medicare rule, the date of service shall be the date of delivery. All services that do not have appropriate POD from the supplier will be denied and overpayments will be requested. POD documentation must be available to the Medicare contractor on request. The description can be either a narrative description (e.g., lightweight wheelchair base), a HCPCS code, the long description of a HCPCS code, or a brand name/model number. A description of the items(s) delivered must be noted on the POD.
The supplier should also have on file any documentation containing a description of the item delivered to the beneficiary to determine the accuracy of claims coding including, but not limited to, a voucher, invoice or statement in the supplier records. If the signature of the designee is not legible, the supplier/shipping service should note the name of the designee on the delivery slip.įor the purpose of the delivery methods noted below, designee is defined as any person who can sign and accept the delivery of DMEPOS on behalf of the beneficiary. The signature of the designee should be legible. The relationship of the designee to the beneficiary should be noted on the delivery slip obtained by the supplier (i.e., spouse, neighbor). Suppliers, their employees, or anyone else having a financial interest in the delivery of the item(s) are prohibited from signing and accepting an item on behalf of a beneficiary (i.e., acting as a designee on behalf of the beneficiary). POD documentation, as well as claims documentation, must be maintained in the supplier's files for 7 years (starting from the DOS). 42 CFR 424.57(c)(12) requires suppliers to maintain proof of delivery (POD) documentation in their files.
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