Get Certificate Of Medical Neccessity Cms-846-pneumatic Compression Devices

Filling out the Certificate Of Medical Necessity CMS-846 for Pneumatic Compression Devices is a vital step in ensuring that patients receive the necessary equipment. This guide provides clear instructions to help you accurately complete the form online.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the Certificate Of Medical Necessity CMS-846 online and open it in your preferred editor.
2. Begin with Section A, where you will identify the certification type by choosing 'Initial', 'Revised', or 'Recertification' and enter the corresponding dates. Provide the patient’s name, address, telephone number, and Medicare ID as it appears on their card.
3. Fill in the supplier's information, including the supplier name, address, telephone number, and either the NSC or NPI number, formatted correctly with the appropriate qualifiers.
4. Indicate the place of service by selecting the proper code representing where the equipment is to be used—such as patient’s home or a skilled nursing facility.
5. Complete the supply item/service procedure code field by listing all relevant procedure codes for the ordered items.
6. Input the patient’s date of birth, gender, height in inches, and weight in pounds in the provided fields.
7. Enter the name and contact details for the treating physician, including their UPIN or NPI number.
8. Move to Section B, where non-physician clinicians may provide details after ensuring the physician will review and sign off. Here, estimate the length of need for the equipment (in months) and enter the relevant diagnosis codes.
9. Answer the five medical necessity questions regarding the patient's condition, marking each with 'Y' for Yes or 'N' for No.
10. If applicable, print the name and title of the person answering the questions in Section B, including the employer's name.
11. In Section C, the supplier will provide a narrative description of the ordered equipment, the charge, and the Medicare fee schedule allowance.
12. Finally, in Section D, ensure the physician signs and dates the document, certifying that the information is accurate and complete.
13. Once all sections are completed, you can save the changes, download, print, or share the form as needed.

Complete your Certificate Of Medical Necessity CMS-846 online to ensure timely access to necessary medical equipment.