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August 28, 2018

Retired: Face-to-Face Examination Date on 7-Element Order for Power Mobility Devices Scenarios

Question: What date should be reported on the 7-element order for the face-to-face (F2F) examination for power mobility devices (PMDs)?

Response: The required PMD F2F examination has two components. These components are:

  1. Decision component - An in-person visit between the beneficiary and the ordering physician to document the decision to order a PMD; and,
  2. Medical evaluation component - A medical examination to document the beneficiary's mobility and functional condition.

Both components are required and must be documented in the prescribing physician's records.

Several possible scenarios can affect the determination of the correct F2F examination date.

F2F Scenarios

If the date of the F2F examination is entered incorrectly or if any other information on the 7-element order must be corrected, it is recommended the supplier request that the physician who completed the original 7-element order complete a new 7-element order. However, if a new 7-element order cannot be obtained, a corrected 7-element order is acceptable only when properly corrected/amended by the physician who originally signed it.

Any deletion and/or addition made to the 7-element order must be entered only by the physician who created the original 7-element-order, who must legibly sign and date the change.

In addition, a corrected 7-element-order is acceptable only when the corrections/amendments are made prior to the completion of any detailed product description and prior to the date of service of the claim.

Suppliers are encouraged to review the Program Integrity Manual available on the Centers for Medicare & Medicaid Services website for additional information on amendments, corrections and delayed entries in medical documentation. This can be found in publication 100-08, chapter 3, section 3.3.2.5.

Additional information on how to change a 7-element order can be found in an article titled, "Changing a 7-Element-Order for a Power Mobility Device", published September 11, 2012, on the CGS website. Suppliers can obtain additional information regarding medical necessity and documentation requirements for Power Mobility Devices in the "Power Mobility Devices Local Coverage Determination and PolicyExternal Website" article.

Publication History

March 26, 2020 Retired due to CMS Final Rule 1713-F.
August 28, 2018 Originally Published
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