Get Odm 07137 Certificate Of Medical Necessity For Home Health Services And Private Duty Nursing

The Odm 07137 Certificate of Medical Necessity is an essential document required to certify the need for home health services and private duty nursing. This guide offers clear, step-by-step instructions for completing the form online, ensuring users can navigate the process effectively.

Follow the steps to fill out the Odm 07137 form online

1. Click ‘Get Form’ button to access the Odm 07137 form and open it in the editor.
2. Begin by entering the individual's name at the top of the form. This should be the name of the person for whom the medical necessity is being certified.
3. Next, fill in the qualifying treating physician's name. This individual must be the one certifying the medical necessity.
4. Input the individual’s Medicaid billing number and the qualifying treating physician's billing number in the respective fields.
5. Proceed to Section I if the individual is not related to an inpatient hospital stay. Check all applicable boxes to certify medical necessity and the face-to-face encounter details. Enter the name and credentials of the person who conducted the encounter, and fill in the encounter date.
6. In Section II, if the individual was discharged from an inpatient hospital stay, check the box confirming the stay duration and provide the discharge date. Certify the necessity of home health services or skilled therapy and check applicable criteria for ongoing care.
7. Complete Section III if applicable, certifying that the individual requires continuous nursing services. Include the necessary discharge information and the certifying physician's signatures and dates.
8. Once all sections have been accurately filled out, review your entries for accuracy. Save any changes made to the document, and then download or print the completed form. Sharing options may also be available to send the completed document as needed.

Complete your documents online efficiently and ensure you meet all necessary requirements.