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How to fill out the CMS-846 online
The CMS-846 is a Certificate of Medical Necessity for Pneumatic Compression Devices utilized in health care settings. This guide will provide a step-by-step approach to accurately complete the CMS-846 form online, ensuring that the crucial details necessary for Medicare claims are properly documented.
Follow the steps to complete the CMS-846 form online.
- Click ‘Get Form’ button to obtain the CMS-846 form and open it in the editor.
- In Section A, select the appropriate certification type by indicating 'INITIAL', 'REVISED', or 'RECERTIFICATION' along with the relevant dates.
- Enter the patient's name, address, telephone number, and Health Insurance Claim Number (HICN) accurately.
- Provide the supplier's name, address, telephone number, and National Supplier Clearinghouse (NSC) or National Provider Identifier (NPI) number.
- Specify the place of service where the item will be used, such as a patient's home or skilled nursing facility.
- In the HCPCS code section, list all applicable procedure codes for the items ordered.
- Fill in the patient’s date of birth, height, weight, and sex.
- Indicate the physician's name, address, telephone number, and relevant identification number (UPIN or NPI).
- Complete Section B by indicating the estimated length of need for the item and the diagnosis codes that support the medical necessity.
- Answer the clinical questions in Section B by circling 'Y' for yes, 'N' for no, or 'D' for does not apply, and provide the name of the person answering the questions if applicable.
- In Section C, provide a detailed narrative description of the ordered equipment, including costs and Medicare Fee Schedule allowances.
- In Section D, have the treating physician attest by signing and dating the form, ensuring all information is correct and complete.
- Once all sections are completed, save the changes to the CMS-846 form, and choose to download, print, or share the documentation as needed.
Complete your CMS-846 form online to ensure accurate and efficient processing.
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A letter of medical necessity qualifies when it is written by a licensed healthcare professional and clearly outlines the patient's medical condition and the need for specific treatment or services. It should reference the CMS-846 guidelines to include essential information that justifies the medical need. This documentation can help you in obtaining necessary approvals from insurance providers.
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