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Document #: DETAILED WRITTEN ORDER Rev.: 09.DWO.HCD.18b B Effective: 09/15/2009 Homecare Dimensions Title: Page #: Home Blood Glucose Monitor and Accessories 1 E0607, A4253, A4259 of 2 Initial Date.

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Written Order Prior to Delivery (WOPD) Requirements For items on the Required Face-to-Face Encounter and Written Order Prior to Delivery List, a complete order is required prior to the item's delivery. (For all other DMEPOS items, the order is required prior to claim submission.)

A detailed written order is a document used to authorize what was ordered by a patient's treating/prescribing physician. Detailed written orders must include all billable items, accessories or supplies related to the base item that is ordered. Some DME suppliers use prepopulated forms for their detailed written orders.

A detailed written order is a document used to authorize what was ordered by a patient's treating/prescribing physician. Detailed written orders must include all billable items, accessories or supplies related to the base item that is ordered. Some DME suppliers use prepopulated forms for their detailed written orders.

A detailed written order (“DWO”) must be obtained prior to billing a claim to Medicare. A DWO must contain the following: name of the beneficiary; date of the order; and a description of the items (by HCPCS code narrative or brand name/model number).

Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. covers some diabetic test supplies, including blood glucose (blood sugar) test strips, as durable medical equipment (DME).

OneTouch® test strips are ALWAYS covered on Medicare Part B and $0 with most supplemental health plans. * With their red, white and blue Medicare Part B card alone, your patients pay just $1.66 for a box of 50ct test strips.

Part B covers home blood sugar (glucose) monitors and supplies you use with the equipment, including blood sugar test strips, lancet devices, and lancets. There may be limits on how much or how often you get these supplies.

Medicare will pay for up to 300 test strips and 300 lancets every month when you use to manage your diabetes. If you don't use to control your diabetes, you may still be able to qualify for 100 test strips per month. If you test your blood sugar more frequently, you may be able to get more test strips.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232