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FORM APPROVED. CENTERS FOR MEDICARE & MEDICAID SERVICES. OMB NO. 0938-0679. CERTIFICATE OF MEDICAL NECESSITY. DM ERC 01.02A.

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What is certificate of medical necessity?

A certificate of medical necessity is a document that outlines the medical need for a specific treatment, service, or equipment.

Who is required to file certificate of medical necessity?

Healthcare providers, such as physicians, therapists, and durable medical equipment suppliers, are typically required to file a certificate of medical necessity.

How to fill out certificate of medical necessity?

To fill out a certificate of medical necessity, healthcare providers must include detailed information about the patient's condition, the recommended treatment or equipment, and the reasons why it is medically necessary.

What is the purpose of certificate of medical necessity?

The purpose of a certificate of medical necessity is to justify the need for a specific medical treatment, service, or equipment to insurance companies or other payers.

What information must be reported on certificate of medical necessity?

The certificate of medical necessity must include the patient's diagnosis, the recommended treatment or equipment, the provider's information, and any supporting documentation.

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