Medicare Adds New Face-to-Face, WOPD, and Prior Authorization Requirements: What Suppliers Need to Know

Published in Member Communities on September 02, 2026

Stephanie Robinson, Director of Billing and Reimbursement for VGM & AssociatesFeaturing Stephanie Robinson, Director of Billing and Reimbursement, VGM & Associates

Medicare is expanding DMEPOS compliance requirements, with new Face-to-Face (F2F), Written Order Prior to Delivery (WOPD), and Prior Authorization rules taking effect in 2026 and 2027. These CMS updates could impact documentation workflows, Medicare reimbursement, claim approval timelines, and supplier compliance obligations. 

Stephanie Robinson, Director of Billing and Reimbursement for VGM & Associates, breaks down the affected product categories, implementation timelines, HCPCS code changes, and key workflow considerations suppliers should address now to reduce claim denials, payment delays, and reimbursement risk. 

Full Article Available Only to VGM Members 

Read the full version here to read exactly what changed, which HCPCS codes are impacted, and what suppliers need to know to stay compliant and avoid costly reimbursement disruptions. For any questions, contact Stephanie Robinson at billingsupport@vgm.com.  

Not a member? Join VGM to access the full article and many other members-only resources.


TAGS

  1. billing & reimbursement
  2. reimbursement
  3. vgm

From Our Experts

How CRT Can Help HME Providers Diversify and Grow thumbnail How CRT Can Help HME Providers Diversify and Grow Looking to grow beyond traditional HME? Learn why more providers are turning to complex rehab technology and mobility services. How CRT Can Help HME Providers Diversify and Grow thumbnail How CRT Can Help HME Providers Diversify and Grow Looking to grow beyond traditional HME? Learn why more providers are turning to complex rehab technology and mobility services. What Suppliers Need to Know: CMS Expands Access to Non-Invasive Ventilation for COPD Patients thumbnail What Suppliers Need to Know: CMS Expands Access to Non-Invasive Ventilation for COPD Patients While the new NCD creates additional opportunities for patients to receive medically necessary therapy, it also introduces new responsibilities for durable medical equipment (DME) suppliers. VGM Playbook: Emerging Markets and Business Growth thumbnail VGM Playbook: Emerging Markets and Business Growth Explore emerging healthcare markets, growth opportunities, and expansion strategies in pediatrics, sleep, home access, maternity care, and more. 2026 O&P Woman of the Year Finalists Announced thumbnail 2026 O&P Woman of the Year Finalists Announced Meet the 2026 O&P Woman of the Year finalists, recognized for leadership, innovation, and excellence in the orthotics and prosthetics profession. Why Signature Issues Continue to Trip Up DME Suppliers thumbnail Why Signature Issues Continue to Trip Up DME Suppliers Discover why signature-related documentation issues continue to create claim denials, audit risks, and reimbursement challenges for DME suppliers. The Fortune Is in the Follow-Up thumbnail The Fortune Is in the Follow-Up The fortune is in the follow-up. Not because follow-up is exciting. Most of the time it's not. In fact, it's often the least glamorous part of the job. But that's exactly why it creates so much value. Most people are willing to start something. Fewer people are willing to stick with it until it's finished. Optimize Your Sleep Therapy Program: A Scalable, Patient-Centered Blueprint for HME Providers thumbnail Optimize Your Sleep Therapy Program: A Scalable, Patient-Centered Blueprint for HME Providers Discover how to optimize your sleep therapy business with scalable workflows, faster therapy starts, improved adherence, and predictable revenue growth.