All providers or suppliers who furnish covered ordered Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) items, clinical laboratory services, or covered ordered/certified home health services are required to maintain documentation for seven years from the date of service and upon request of The Centers for Medicare & Medicaid Services (CMS) or a Medicare contractor provide access to documentation.
Documentation that needs to be kept includes:
- Written and electronic documents including the National Provider Identifier (NPI) of the physician who ordered/certified the home health services and the NPI of the physician
- Or, when permitted, other eligible professional – who ordered items of DMEPOS or clinical laboratory or imaging services relating to written orders and certifications and requests for payments for DMEPOS items and clinical laboratory, imaging, and home health services.
All providers and suppliers are subject to this requirement and are individually responsible for providing the documentation upon request.