Suggested Language for a DMEPOS SBR for Improper Invoice Request
Some claims administrators incorrectly require that DMEPOS bills be accompanied by an invoice, when only dangerous devices need invoices.
We suggest the following language to substantiate the reason an invoice is not required for processing DMEs that are not classified as dangerous devices:
"Pursuant to Labor Code 5307.1, an invoice is not required for this DME as it is listed on Medicare’s DMEPOS fee schedule and does not meet the definition of a 'Dangerous Device'.”
The definition of dangerous device is set forth in California Business and Professions Code Section 4022:
California Labor Codes
Division of Workers’ Compensation Websites
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