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Form CMS-854 Certificate of Medical Necessity - Continuation Form
What Is Form CMS-854?
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 June 1, 2019 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-854?
A: Form CMS-854 is the Certificate of Medical Necessity - Continuation Form.
Q: What is the purpose of Form CMS-854?
A: The purpose of Form CMS-854 is to provide additional information for medical necessity and coverage determinations.
Q: Who needs to complete Form CMS-854?
A: Healthcare providers or suppliers seeking reimbursement for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) may need to complete this form.
Q: What information is required on Form CMS-854?
A: Form CMS-854 requires information such as patient details, medical diagnosis, justification for medical necessity, and supporting documentation.
Form Details:
- Released on June 1, 2019;
- 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-854 by clicking the link below 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-854 Certificate of Medical Necessity - Continuation Form
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