Print Page | Contact Us | Sign In | Join
News & Press: Advocacy and Policy

Urge your Member of Congress to Cosponsor HR 3833 to Authorize NPs to Document Evaluations for DME

Friday, February 21, 2014   (0 Comments)
Posted by: Becky Dryden
Share |



Nurse practitioners (NPs) have a long history of providing high quality, cost effective care to Medicare patients. They have been safely and independently ordering durable medical equipment since 1997 when Congress authorized NPs to receive direct reimbursement for Medicare Part B services.


Recently, in an attempt to reduce fraud, waste and abuse in the ordering of DME, a provision of the Affordable Care Act required that a face-to-face encounter take place as a condition of payment for certain DME items. Currently NPs are permitted to perform the face-to-face encounter, but the law still requires a physician to document that the face-to-face encounter has occurred. This requirement is even enforced when the face-to-face encounter has been performed by an NP. NPs do not object to the requirement for a face-to-face encounter with the patient for whom they order DME, but it is an unreasonable and costly administrative burden to require that a physician sign off on these DME orders. This additional requirement increases the cost of patient care and leads to unnecessary delays in Medicare patients obtaining the medical equipment they need, especially in parts of the country already designated as a health professional shortage area.


The Centers for Medicare and Medicaid Services (CMS) have delayed this provision already as result of concerns expressed by the nursing community and others until a date sometime later in 2014. While we advocated for this delay, we understand the only way to truly remove this barrier to access for millions of Medicare beneficiaries is through a change in law.


Legislation that would authorize nurse practitioners to document the face-to-face encounters with their Medicare patients to order certain durable medical equipment has been introduced in the U.S. House of Representatives. The WOCN Society is working with others in the nursing community to encourage Members of Congress to support beneficiary access to DME by becoming a cosponsor of H.R. 3833. We need you to urge your Members of Congress to cosponsor H.R. 3833. Click here to contact your representatives today.


If you have any questions or require additional information, please do not hesitate to contact WOCN® Society Government Relations staff, Chris Rorick, at


The WOCN® Society
National Office

Join Now Contact Us: 888-224-WOCN(9626)

Copyright 2018 Wound, Ostomy and Continence Nurses Society™. All rights reserved.

The WOCN® Society is professionally managed by Association Headquarters, a charter accredited association management company.

The Wound, Ostomy and Continence Nurses Society is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

The Wound, Ostomy and Continence Nurses Society is approved by the California Board of Registered Nursing, Provider Number CEP 15115.

PLEASE BE ADVISED: The names and contact information for all individuals listed on this site is privileged, confidential information and intended for specific purposes. No one (individual or company) may use any contact information on the WOCN Society website to contact, to distribute information to, or solicit anyone for any reason other than the intended purpose for which the name and contact information is available. Click here to view our detailed Privacy Policy.