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External Breast Prostheses Frequently Asked Questions

Enrollment/Assignment of Claims

  1. Is a supplier required to accept assignment on a specific amount of bras or may they all be submitted as nonassigned?

    Answer:
    A nonparticipating supplier may choose to accept assignment or submit the claim as nonassigned. Assignment may be selected on a claim-by-claim basis. A supplier may not attempt to circumvent the Medicare allowed amount limitation by “fragmenting” his/her bills. Bills are “fragmented” when a supplier accepts assignment for some services, and claims payment from the enrollee for other services performed at the same place and on the same occasion.

    A participating supplier must accept assignment for all items and services furnished to Medicare beneficiaries.

    For additional information on fragmented billing, refer to the “Fragmented” Billing for Nonparticipating Suppliers article.
     
  2. If a physician orders a total for the year of six bras and the beneficiary wishes to purchase from a participating supplier a seventh bra, can the supplier collect payment for the seventh bra from the member as self pay?

    Answer:
    Per the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) 100-04 Medicare Claims Processing Manual, Chapter 1, Section 70.8.8.6 (1.53 MB), Section 1848(g)(4) of the Social Security Act requires suppliers to submit claims to the DME MAC for services furnished. Suppliers who fail to submit a claim are subject to sanctions. CMS is responsible for assessing sanctions and monetary penalties for noncompliance.

    Suppliers who have knowledge of an individual that is on Medicare should submit all items/services to the DME MAC for consideration of payment.

    Note: Suppliers will not violate mandatory claims submission rules under Section1848 of the Social Security Act when a claim is not submitted to Medicare at the beneficiary’s request by their choice of option two on the revised ABN.
     
  3. If a supplier does not accept assignment on a claim, then the beneficiary pays in full, how does the supplier notify the secondary insurance in order to not receive the payment?

    Answer:
    Suppliers will need to verify with the requirements from the secondary payer. Once Medicare processes the claim, information will appear on the Medicare remittance advice.
     
  4. If a supplier is nonparticipating and doesn’t accept assignment, is accreditation still required?

    Answer:
    Yes. All DMEPOS suppliers who serve Medicare beneficiaries and meet the supplier standards listed in the Jurisdiction B (JB) Supplier Manual, Chapter 2 must enroll and obtain a PTAN with the NSC.

    Before enrolling with the NSC, you must obtain a NPI. Applying for an NPI is a separate process from enrollment with the NSC. This information will be found in the National Provider Identifier section of Chapter 2 of the JB Supplier Manual. This chapter outlines the enrollment requirements that you must meet in order to receive payment in the Medicare Program as a DMEPOS supplier.
     
  5. For nonparticipating suppliers who submit all claims as nonassigned, does the beneficiary pay the supplier upfront for all charges?

    Answer:
    Nonparticipating suppliers billing as nonassigned can collect payment in full from the beneficiary who will then receive reimbursement directly from Medicare for the allowed amount.
     
  6. Are there any “negative” consequences of being a nonparticipating supplier?

    Answer:
    Nonparticipating suppliers are not included in the MEDPARD prepared by the NSC. This directory serves as an aid to the beneficiary in selecting a supplier who accepts assignment as the beneficiary will have less out-of-pocket costs.
     
  7. How do suppliers switch to nonparticipating status?

    Answer
    : Open enrollment forms (CMS-460, Participation Agreement Form) are mailed to all active suppliers every November. If an existing nonparticipating supplier wants to become participating, then the agreement form must be received during open enrollment and postmarked before December 31 of that year.

    If a participating supplier wants to become nonparticipating, they can request to become nonparticipating by sending the request to the NSC on their company letterhead. The request must be postmarked before December 31 of that year to become nonparticipating effective January 1 of the next year.
     
  8. What is the purpose of revalidation when accreditation is required every three years?

    Answer:
    CMS requires that all DMEPOS suppliers with Medicare billing privileges reenroll with the Medicare Program every three years through the NSC.
     
  9. When suppliers revalidate their application, are they are able to switch their status to nonparticipating?

    Answer:
    Suppliers can change their participation status annually. To switch from participating to nonparticipating, a supplier just needs to submit a request to the NSC on their company letterhead, postmarked before December 31 for the change to take effect January 1 of the following year.
     
  10. If a company chooses not to be a Medicare supplier, is a Medicare beneficiary able to go to that company and submit their own claim for reimbursement?

    Answer:
    Beneficiaries are strongly encouraged to receive DMEPOS items from Medicare suppliers. If a beneficiary opts to receive DMEPOS items from a non-Medicare supplier, they are able to submit their own claim for reimbursement however; they are only able to receive reimbursement from Medicare one time per DMEPOS item. If a beneficiary opts to receive DMEPOS items from a non-Medicare supplier, they are able to submit claims to Medicare for reimbursement by completing the Patient’s Request for Medical Payment CMS-1490S Form.
     
  11. What certification does a fitter require to provide these items?

    Answer:
    Medicare does not require a certification however; suppliers should verify if their state requires a license to fit and provide these services.

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Coverage

  1. Are suppliers able to charge Medicare or the beneficiary a fitting fee?

    Answer:
    No, suppliers may not charge a fitting fee.
     
  2. May a beneficiary be fitted for a L8015 prior to surgery and delivered after the surgery?

    Answer:
    Yes. An external breast prosthesis garment, with mastectomy form (L8015) is covered for use in the postoperative period prior to permanent breast prosthesis or as an alternative to mastectomy bra and breast prosthesis.

    The L8015 (external breast prosthesis garment, with form, post) is not payable if dispensed prior to surgery (medical necessity for the L8015 cannot be established until after completed surgery). The date of service on the claim must match the date the beneficiary received the item so a supplier cannot dispense the item on one date and bill for it on a later date.
     
  3. Should the mastectomy bra be given and billed the date of surgery?

    Answer:
    The delivery of a mastectomy bra would be dependent upon the beneficiary and their treating physician. Items delivered during a Medicare Part A stay should not be billed to the DME MAC.
  4. When providing prosthesis is the medical record from the surgery required or will a follow-up visit note be sufficient?

    Answer:
    A breast prosthesis is considered for coverage for a patient who has a mastectomy which is identified by one of the diagnosis codes listed in the medical policy. During a review it would be expected the medical record would contain sufficient detailed information to justify coverage.
     
  5. Does Medicare consider reimbursement for breast prosthesis due to a congenital malformed breast?

    Answer:
    Coverage is included for the conditions listed in the medical policy.If a potentially covered condition is missing, an LCD reconsideration should be submitted explaining the need and justification for the proposed addition. Suppliers may refer to the Local Coverage Determination Reconsideration Process section of Chapter 6, JB Supplier Manual for further information on submitting a LCD reconsideration.
     
  6. Can a Medicare beneficiary receive mastectomy bra if she does not have a need for full breast prosthesis?

    Answer:
    Yes, a Medicare beneficiary may receive bras if a partial prosthesis is needed.
     
  7. Are beneficiaries able to receive a breast prosthesis and a nipple prosthesis on the same date?

    Answer:
    If a beneficiary receives a breast prosthesis for one side and the nipple prosthesis for the other, yes this can be considered for reimbursement. If the beneficiary is receiving a breast and nipple prosthesis for the same side, this would not be considered for coverage on both prostheses.
     
  8. What process should a supplier follow if the beneficiary wants a camisole after her healing period?

    Answer:
    The L8015 (external breast prosthesis garment, with form, post) is covered prior to a permanent breast prosthesis being dispensed or as an alternative to a breast prosthesis and mastectomy bra. Once the breast prosthesis and bras are dispensed, Medicare will no longer cover the camisole. Prior to this, a supplier can continue to dispense camisoles under the original order.
     
  9. If a beneficiary receives a L8020 after surgery then four to six weeks later is able to tolerate a L8030, will the supplier receive reimbursement for the L8030 due to progression in medical need?

    Answer:
    All prosthetic devices are determined to be or not be reasonable and necessary by means of the medical records provided from the physician. The RUL of the L8020 is six months.
     
  10. If a beneficiary requires a new prosthesis due to weight gain or loss, will Medicare allow reimbursement?

    Answer:
    An external breast prosthesis of a different type can be covered at any time if there is a change in the patient’s physiological condition necessitating a different type of item. If the patient’s medical condition changes, this should be documented in the patient’s medical record. The patient’s ordering physician would also be required to submit a new order which explains the need for a different type of breast prosthesis. The order must be kept in the supplier’s files but need not be submitted with the claim.
     
  11. If a beneficiary receives a L8030 and returns to receive a L8020 due to the L8030 is too heavy, will Medicare reimburse on the L8020?

    Answer:
    No, it will deny Same or Similar; the RUL for the L8030 is two years. The supplier is expected to have properly fit the product prior to delivery.All additional costs for fitting, adjustments changes etc. that are necessary in the 90 days after delivery are covered by the payment for the original item.
     
  12. If a beneficiary receives a foam form may they receive reimbursement from Medicare for a silicone prosthetic in six months?

    Answer:
    The useful lifetime expectancy for silicone breast prostheses is two years. The useful lifetime expectancy for nipple prostheses is three months. For fabric, foam, or fiber filled breast prostheses, the useful lifetime expectancy is six months. Replacement sooner than the useful lifetime because of ordinary wear and tear will be denied as noncovered.
     
  13. Is a beneficiary required to receive a L8015 prior to a L8030 or may a beneficiary receive the items at any time?

    Answer:
    No, a beneficiary is not required to receive a L8015 prior to a L8030. However, L8015 may be covered as an alternative to mastectomy bra and breast prosthesis.
     
  14. May a beneficiary receive more than one L8015 in a lifetime?

    Answer:
    Yes, the medical policy for external breast prostheses does not specify the quantities of bras or external breast prosthesis garment, with form, which are covered. This is determined by the medical necessity and what is reasonable and necessary for the individual patient. Medical records from the physician should reflect and support what is dispensed to the beneficiary.
     
  15. May beneficiaries switch between an L8020 and L8030 if the RUL has expired for each?

    Answer:
    Yes a beneficiary may switch between both prostheses as long as the RUL has expired.
     
  16. What does Medicare consider the RUL for the L8000?

    Answer:
    Medicare does not have a RUL specified for the L8000.
     
  17. Are suppliers able to deliver a L8020 and L8030 at same time?

    Answer:
    No. The L8020 is the fabric, foam, or fiber filled prosthesis and has a RUL of six months; the L8030 the silicone or equal mastectomy form with a RUL of two years. The LCD for External Breast Prostheses (L26999) tells the supplier the Medicare Program will pay for only one breast prosthesis per side for the useful lifetime of the prosthesis. Two prostheses, one per side, are allowed for those persons who have had bilateral mastectomies. More than one external breast prosthesis per side will be denied as not reasonable and necessary.
     
  18. Is the prosthesis two year replacement by date of service or by calendar year?

    Answer:
    The replacement timeframe starts the day the prosthesis was delivered to the beneficiary.
     
  19. How many bras may a beneficiary receive per year?

    Answer:
    The policy does not identify a specific quantity. These items are paid based on medical necessity evidenced in the patient’s medical record.
     
  20. Are suppliers able to deliver and receive reimbursement when a beneficiary is in a skilled nursing facility?

    Answer:
    For beneficiaries who are currently in a Part A covered stay, within their 100 days, all items/services are considered part of the consolidated billing of the skilled nursing facility. If the 100 days have been exhausted and Medicare Part A has received a claim for “no pay stay” the bras and prostheses can be considered for coverage by the DME MAC.

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Medical Documentation/Signature Requirements

  1. Since mastectomy is a permanent condition, may medical documentation stating the diagnosis be from years back?

    Answer:
    Yes, the medical records may advise a diagnosis that is beyond the seven year time frame Medicare advises for medical records. Timely documentation is defined as a record in the preceding 12 months unless otherwise specified elsewhere in the medical policy. Suppliers are reminded that medical information collected by the supplier is deemed insufficient, by itself, even if signed by a physician, to justify payment.Information from the medical record is the primary source used to justify reimbursement.
     
  2. What information should be present in the medical records to justify the quantity and frequency of mastectomy bras?

    Answer:
    The LCD for External Breast Prostheses (L26999) does not specify a usual quantity of bras.The number provided should be sufficient to accommodate daily wearing and a usual laundering interval. As a durable supply, they may be replaced when they are no longer able to provide sufficient support. There must be sufficient information to demonstrate that the applicable coverage criteria are met.
     
  3. Are the medical records required to specific what type of breast prostheses the beneficiary should receive?

    Answer:
    No. The LCD for External Breast Prostheses (L26999) does not require the medical records to specify the type of prosthesis. There must be sufficient information to demonstrate that the applicable coverage criteria are met.
     
  4. What is deemed as a medical necessity for product eligibility after reconstruction surgery?

    Answer:
    If after a beneficiary has received reconstructive surgery and a breast prosthesis is required, Medicare will consider payment for the prosthesis and bras. If after reconstructive surgery a prosthesis is not required, bras would not be covered since there is not a prosthesis.
     
  5. If a medical entry or documentation contains written and typed information, is this acceptable for valid documentation?

    Answer:
    A partially typed and partially handwritten record is a valid part of the medical record if it is properly authenticated.
     
  6. Will a photo of the patient’s status (postmastectomy) serve in the event physician medical records are not obtainable?

    Answer:
    A photograph in the supplier’s records is not an acceptable or adequate substitute for documentation in the beneficiary’s medical record to support medical necessity. A photograph may be part of the comprehensive medical record.
     
  7. Are suppliers required to send their notes to the ordering physician?

    Answer:
    No, suppliers are not required to send their notes to ordering physicians.
     
  8. For a lost or stolen prosthesis, what documentation is required to support the replacement prosthesis?

    Answer:
    Suppliers will need to follow the documentation requirements specified in the medical policy for a new item along with documentation of current usage/need. For documentation of lost or stolen, suppliers may include the following documentation:
    • Reason for replacement
    • Medical records
    • Police reports
    • Written explanations from the beneficiary
  1. If a form from the ordering physician has an illegible signature, may the ordering physician circle their name if there is a listing of physicians or are they required to print their name below their signature?

    Answer:
    The preferred would be the printed name below the signature, although the name within the letterhead circled is also acceptable. A publication titled “Signature Requirements” is now available in downloadable format from the Medicare Learning Network on the CMS website. This fact sheet is designed to provide education on signature requirements to healthcare providers.
     
  2. What resources are available for suppliers to provide to ordering physicians in regards to stamp signatures are not acceptable for Medicare purposes?

    Answer:
    A publication titled “Signature Requirements” is now available in downloadable format from the Medicare Learning Network on the CMS website. This fact sheet is designed to provide education on signature requirements to healthcare providers, and includes information on the documentation needed to support a claim submitted to Medicare for medical services. Ultimately, all documentation requirements affect the suppliers claim; on behalf of a health care provider, you may create a signature log at any time, and Medicare Contractors will accept all submitted signature logs regardless of the date when they were created.

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Coding

  1. Would a form L8020 or L8030 and bras L8000 be covered for a beneficiary who has diagnosis of malignant neoplasm of breast unspecified site and had a lumpectomy versus a mastectomy?

    Answer:
    This is possible for reimbursement. A breast prosthesis is covered for a patient who has had a mastectomy which is identified by one of the diagnosis codes listed in the medical policy. A mastectomy bra (L8000) is covered for a patient who has a covered mastectomy form (L8020) or silicone (or equal) breast prosthesis (L8030) when the pocket of the bra is used to hold the form/prosthesis.
     
  2. What garments are classified under HCPCS L8002?

    Answer:
    Codes L8001 and L8002 describe a bra with integrated breast prosthesis, either unilateral or bilateral, respectively. Products described by codes L8001 and L8002 may be constructed of any material (e.g., cotton, polyester or other materials), with any type or location of closure, any size, with or without integrated structural support (e.g., underwire).
     
  3. In the event that a pocketed bra (L8000) is not available in the needed size (e.g.: G, H, I cups) are suppliers able to modify the bra with a pocket and bill it as a pocketed bra?

    Answer:
    To be covered under the Medicare DME MAC the item must be pocketed; the policy article of the medical policy states products described by code L8000 may be constructed of any material, with any type or location of closure, any size, with or without integrated structural support. Although there are manufacturers that provide the larger sizes one is to assume this can be provided in this manner at no extra cost to the beneficiary.
     
  4. Does “shelf” camisole pertain to a specific style of camisole or does it mean an “over the counter” item that can be purchased at a department store?

    Answer:
    Code L8015 describes an external breast prosthesis garment, with mastectomy form, used post mastectomy. A shelf style camisole without breast form should not be coded with HCPCS code L8015. For additional information regarding coding refer to the PDAC Contractor‘s website.
     
  5. Are suppliers able to bill a camisole with integrated shelf bra as a L8000?

    Answer:
    No. Medicare’s description of the L8000 is breast prosthesis, mastectomy bra.
     
  6. What modifier should be reported when billing for replacement items?

    Answer:
    The RA modifier is used for replacement items that have met the RUL or due to irreparable damage, theft, or loss.

    If a new item was provided due to a change in physiological condition, a different HCPCS code would be billed and this would not be considered a “replacement” of the original item. The RA modifier would not be used in this situation.

    All other applicable modifiers per the medical policy are also required to be submitted on the claim.
     
  7. If a beneficiary has a dual mastectomy how does a supplier bill the prostheses to receive reimbursement?

    Answer:
    The assumption here is “dual” meaning bilateral, the RT and LT modifiers must be used with these codes. When the same code for bilateral items (left and right) is billed on the same date of service; bill for both items on the same claim line using the RTLT modifiers and two units of service. Claims billed without modifiers RT and/or LT will be rejected as incorrect coding. Bras and similar inherently bilateral items (L8000–L8002, L8015) are exempt from the RTLT requirement.
     
  8. Are compression garments for lymphedema billed as HCPCS L8015?

    Answer:
    Code L8015 describes an external breast prosthesis garment, with form used post mastectomy. Mastectomy sleeves used for the treatment of lymphedema can be billed using code L8010 (but are noncovered by Medicare).

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Dispensing and Detailed Written Orders

  1. If a dispensing order specifies a number of bras that the supplier does not see is medically necessary, may the supplier reduce the dispensing due to not medically necessary. For example, the dispensing order specifies 12 bras however; it is determined the beneficiary should only receive three?

    Answer:
    A supplier can obtain an ABN in this situation and bill only for the items that are believed to be reasonable and necessary. However, there is not a set number of bras a beneficiary can receive. It is based upon the treating physician’s order and the medical record. A supplier is able to dispense a number lower than what is written on the dispensing order.
     
  2. If a prescription states six bras but no refill information, is the order valid for one year or does it need to specify one year on the order?

    Answer:
    Because the order is unclear, it should be sent back to the physician for clarification, preferably requesting a new, replacement order to minimize confusion; both frequency/duration and quantity should be specified on the DWO.
     
  3. If a beneficiary contacts a supplier may the supplier contact the physician in order to receive a dispensing or DWO?

    Answer:
    Yes, once the beneficiary makes contact with the supplier you may then document that contact, and the DWO will be provided to the physician for concurrence and signature. This is not considered solicitation since the contact was made by the beneficiary to the supplier.

    A supplier can assist the physician in determining what item will work best for a particular beneficiary (and will often complete the detailed description on the DWO) but the physician must initiate the dispensing order after evaluating the beneficiary.
     
  4. If a beneficiary presents a valid DWO to the supplier, is the supplier required to contact the ordering physician for a dispensing order?

    Answer:
    No. If the supplier has the DWO, a dispensing order would not be necessary. The supplier may dispense the item based on the DWO and submit a claim to Medicare. A valid DWO must contain:
    • Beneficiary’s name
    • Prescribing Physician’s name
    • Date of the order
    • Detailed description of the item(s)
      • For items provided on a periodic basis, the DWO must also include:
        • Item(s) to be dispensed
        • Quantity to be dispensed
        • Frequency of use
        • Number of refills
    • Physician signature and signature date
       
  5. When is a new DWO required?

    Answer:
    Medicare requires a new DWO when:
    • there is a change in the item(s), frequency of use, or amount prescribed
    • an item is replaced
    • there is a change in supplier
    • there is a change in length of need or a previously established length of need expires
    • Any state or federal laws requires a new DWO
       
  6. For how long is a prescription for bras valid?

    Answer:
    For Medicare purposes, a prescription (DWO) is valid for as long as the prescription indicates, consistent with applicable laws. Suppliers should verify with their state regulations if a new prescription is required at certain intervals.
     
  7. If the beneficiary wants a different bra style number then previously dispensed, is a new order required?

    Answer:
    No, all mastectomy bras without integrated prosthesis are coded as L8000. Changing from one manufacturer or style to another does not change the coding or the medical necessity therefore a new order is not needed. Changing from an L8000 to an L8001 or L8002 would require a new order.
     
  8. May nurses sign a dispensing order?

    Answer:
    Nurse practitioners, clinical nurse specialists and physician assistants can order DMEPOS items if they meet the conditions listed in Chapter 8 of the Jurisdiction B DME MAC Supplier Manual.

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Advance Beneficiary Notice of Noncoverage/Upgrades

  1. Are suppliers able to submit breast prostheses bras as upgrade billing? If so, what are the appropriate steps to take to ensure correct billing?

    Answer:
    Upgrades involve situations in which the upgraded item or component is more than what is medically necessary. For items with a different HCPCS code than the item that will be covered by Medicare, this distinction between products is easy to determine. Differing products contained within the same HCPCS code generally are considered as equivalent to one another.A difference in pricing for items classified within the same HCPCS code is not sufficient to justify an upgrade. For bras coded within the same HCPCS code, upgrade billing is not permitted. Please refer to Chapter 10 of the Jurisdiction B Supplier Manual for information on billing procedures for ABN upgrades.

    Suppliers who bill bras (HCPCS codes L8000-L8002) and/or camisoles (HCPCS code L8015) as upgrades will have their claim returned as unprocessable. For example, if you bill two claim lines on one claim and both HCPCS codes are L8000 with upgrade modifiers, the claim will be returned as unprocessable. This will be identified on the remittance advice with ANSI Denial Code CO-16 with ANSI Remark Codes N108 and MA130.
     
  2. Are suppliers able to bill items as upgrades due to the item the beneficiary received costs more than what Medicare allows?

    Answer:
    No. Cost is not sufficient to justify an upgrade.
     
  3. Are suppliers able to collect the difference in what Medicare allows and what the supplier charges for a L8000 if an ABN has been properly executed?

    Answer:
    Mastectomy bras are not eligible to be billed as upgrades so an ABN is not applicable. The Medicare allowed amount is all a participating supplier can receive as payment in full when billing for the L8000. Nonparticipating suppliers have the option to bill mastectomy bras as nonassigned claims in order to receive full payment directly from the beneficiary—in these cases, an ABN is not required.
     
  4. If a supplier is submitting a nonassigned claim, is an ABN required in order to hold the beneficiary liable for the full amount of the supplier charges of service?

    Answer:
    No, an ABN is not required to hold the beneficiary liable for the full charge if Medicare makes payment on the claim. If the claim is expected to be denied, yes the supplier will need to execute an ABN to hold the beneficiary liable for the charges.
     
  5. If a beneficiary is requesting to purchase breast prostheses or garments via cash, is a supplier required to execute an ABN?

    Answer:
    Yes, suppliers should execute an ABN when a beneficiary requests items that do not meet Medicare’s coverage criteria and they request to pay for the items via cash. The beneficiary should select option two in section G of the ABN.

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Request for Refills

  1. What documentation must a supplier have in order to meet the request for refill documentation?

    Answer:
    A refill request must include:
    • Beneficiary’s name or authorized representative if different from the beneficiary
    • A description of each item that is being requested
    • Date of refill request
    • For nonconsumable supplies i.e., those more durable items that are not used up but may need periodic replacement, the supplier should assess whether the supplies remain functional, providing replacement (a refill) only when the supply item(s) is no longer able to function. Document the functional condition of the item(s) being refilled in sufficient detail to demonstrate the cause of the dysfunction that necessitates replacement (refill).
  2. If the ordering physician does not indicate refills on the dispensing order or in the medical record, but just ordered four bras, are suppliers to interpret this as to dispense four bras, no refills or one bra every three months?

    Answer:
    Yes either is acceptable.
     
  3. Are suppliers permitted to contact beneficiaries with a signed consent and request to be notified when eligible for the next three month supply of bras?

    Answer:
    Yes the suppliers may contact their existing customers in order to provide continued services.
     
  4. How soon can shipping occur for refills?

    Answer:
    For subsequent deliveries of refills, suppliers should deliver the DMEPOS product no sooner than ten calendar days prior to the end of usage for the current product.

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Proof of Delivery

  1. If the beneficiary picks up the items in the store, should the delivery address be our store address?

    Answer:
    Yes the store address would be used.
     
  2. If a supplier is mailing items to a beneficiary is it acceptable to send a delivery ticket and a self-addressed stamped envelope along with the items so the beneficiary may sign the delivery ticket showing that they received the items?

    Answer:
    Yes this is an acceptable practice in order to show a valid proof of delivery.
     
  3. When using proof of delivery, method 2, if the receipt clearly states the date of service is the shipping date but the beneficiary signs it several days later due to shipping delays, is the proof of delivery valid?

    Answer:
    Yes, the proof of delivery would be valid to show the items have been received by the beneficiary. Suppliers are reminded with method 2, the date of service on the claim should be the shipping date.

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External Breast Prostheses Frequently Asked Questions
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