Interactive DME billing guide
DME Billing Documentation: SWO, Proof of Delivery & Modifiers
Play the eight-step visual story, then use the practical checklist below to review documentation before a Medicare DME claim is submitted.
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DME Billing Documentation: SWO, Proof of Delivery & Modifiers
What changed
CMN and DIF forms are no longer the current claim workflow
For dates of service on or after January 1, 2023, CMS discontinued Certificates of Medical Necessity and DME Information Forms. Sending those forms—or their electronic data elements—with a current claim may cause the claim to be rejected and returned.
The change did not remove the supplier's documentation responsibility. A compliant file still needs the applicable Standard Written Order, medical-record support, correct coding and proof of delivery. Item-specific LCD, policy article, prior-authorization and payer requirements can add further checks.
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Use the technical guide for denial-prevention detail, review the commercial service page for operational support, or return to the complete visual-story library.
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