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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CMS-846
for the current year.
Form CMS-846 Certificate of Medical Necessity " Pneumatic Compression Devices
What Is Form CMS-846?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on February 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CMS-846?A: Form CMS-846 is the Certificate of Medical Necessity for Pneumatic Compression Devices.
Q: What is a pneumatic compression device?A: A pneumatic compression device is a medical device that helps improve circulation and reduce swelling by applying pressure to the limbs.
Q: Who needs to fill out Form CMS-846?A: The healthcare provider or supplier who is prescribing the pneumatic compression device needs to fill out the form.
Q: What information is required on Form CMS-846?A: The form requires information about the patient, the healthcare provider or supplier, the device being prescribed, and the medical need for the device.
Q: Is Form CMS-846 required for all pneumatic compression devices?A: Yes, Form CMS-846 is required for all pneumatic compression devices that are being prescribed to Medicare beneficiaries.
Q: What happens after Form CMS-846 is submitted?A: The form is reviewed by Medicare to determine if the pneumatic compression device meets the coverage criteria. If approved, Medicare may provide reimbursement for the device.
Q: Can I get a pneumatic compression device without Form CMS-846?A: No, Form CMS-846 is required for Medicare beneficiaries to receive reimbursement for a pneumatic compression device.
Q: Is Form CMS-846 specific to Medicare?A: Yes, Form CMS-846 is specific to Medicare and is used for Medicare reimbursement purposes.
Form Details:
- Released on February 1, 2017;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form CMS-846 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-846 Certificate of Medical Necessity " Pneumatic Compression Devices
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