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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

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