medicare regulations for dme and hme companies require this policy if it is applicable to the types of services your dme provides, we make this easy for you with just a small amount of customization, you too will meet the requirements of the federal regulations. this policy is updated to the newest 2010 standards.
DELIVERY ROUTE SHEET Employee Name: Date: Vehicle ID#: Beginning Ending Total Type of Equipment/ Delivery Pickup Destination/Client Name Comments Time Time Time Supplies Beginning Odometer Reading: Ending Odometer Reading: Total Miles: Total # of Deliveries: Total # of Pickups: © The Compliance Doctor, LLC
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"7120 - Delivery Route Sheet Form"Please download to view full document