Get Certificate Of Medical Neccessity Cms-848-transcutaneous Electrical Nerve Stimulator (tens)

The Certificate Of Medical Necessity CMS-848 for transcutaneous electrical nerve stimulators is an essential document for obtaining necessary medical equipment. This guide provides clear and comprehensive instructions on how to accurately complete the form online, ensuring that you meet all requirements and facilitate the review process.

Follow the steps to fill out the Certificate Of Medical Necessity CMS-848 online.

1. Press the ‘Get Form’ button to access the form. This will allow you to open the document in an online editing interface.
2. Begin with Section A: Certification Type/Date. Indicate whether it is an initial, revised, or recertification by filling in the appropriate date and marking the relevant box.
3. Enter the patient’s personal information, including their name, address, telephone number, and Medicare ID, ensuring accuracy as it appears on their Medicare card.
4. In the supplier information section, list your company name, address, telephone number, and either the National Supplier Clearinghouse (NSC) number or National Provider Identifier (NPI) number.
5. Specify the place of service, selecting the appropriate code that corresponds with the location where the item will be used.
6. If applicable, include the name and address of the facility where the service will take place.
7. Provide the physician’s information, including their name, address, and either the Unique Physician Identification Number (UPIN) or NPI, along with their contact number.
8. Proceed to Section B where, upon the physician's instruction, specify the estimated length of need in months and fill in diagnosis codes relevant to the patient's medical condition.
9. Answer the clinical questions 1-6, checking 'Y' for yes or 'N' for no, to provide necessary information regarding the patient's condition and treatment history.
10. If someone other than the physician answers Section B, note their name, title, and employer in the designated area.
11. In Section C, the supplier should write a detailed narrative description of the items ordered, including charges and Medicare fee schedule allowances for each.
12. Finally, the physician must review all sections and sign in Section D, certifying that all information is accurate and complete. Date the form appropriately.
13. After completing the form, ensure to save changes. You may choose to download, print, or share the document as required.

Begin your online process for completing the Certificate Of Medical Necessity now.