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Form ODM10275 Certificate of Medical Necessity: Wearable Cardioverter-Defibrillators - Ohio
What Is Form ODM10275?
This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the ODM10275 Certificate of Medical Necessity?
A: The ODM10275 Certificate of Medical Necessity is a form used for wearable cardioverter-defibrillators in Ohio.
Q: What is a wearable cardioverter-defibrillator?
A: A wearable cardioverter-defibrillator is a device that monitors heart rhythms and delivers a shock to the heart if a life-threatening arrhythmia is detected.
Q: Who needs to complete the ODM10275 form?
A: The ODM10275 form needs to be completed by a healthcare professional who is prescribing a wearable cardioverter-defibrillator.
Q: Why is the ODM10275 form necessary?
A: The form is necessary to provide medical justification for the need of a wearable cardioverter-defibrillator and to ensure proper reimbursement.
Q: Are wearable cardioverter-defibrillators covered by insurance in Ohio?
A: Insurance coverage for wearable cardioverter-defibrillators may vary, so it is recommended to contact your insurance provider for specific information.
Q: What information is required on the ODM10275 form?
A: The form requires information about the patient, the healthcare provider, the diagnosis, and the medical necessity for a wearable cardioverter-defibrillator.
Form Details:
- Released on September 1, 2021;
- The latest edition provided by the Ohio Department of Medicaid;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ODM10275 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
