CMS Considers Whether to Eliminate Certificate of Medical Necessity/DME Information Forms

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CMS recently hosted a special open door forum soliciting reactions on whether to eliminate Certificate of Medical Necessity (CMN) and Durable Medical Equipment Information forms as required documents to determine medical necessity.  Comments are due June 12, 2015. 

CMS noted that the forms often conflict with the medical record, which CMS reviewers ultimately will look to in determining medical necessity.  Although CMS is considering no longer requiring suppliers to collect the information on CMS-developed forms, CMS still would require the necessary data elements be submitted on the 837 claim form.  Comments on the topic may be sent to CMS at ReducingProviderBurden@cms.hhs.gov through June 12, 2015.  Additional information may be found here 

Reporter, Christina A. Gonzalez, +1 713 276 7340, cagonzalez@kslaw.com.

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