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Form Approved OMB No. 09380679 Expires 02/2020DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICESCERTIFICATE OF MEDICAL NECESSITY CMS484 OXYGEN DME 484.5SECTION A: Certification

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How to fill out oxygen - procare home

01

To fill out oxygen - procare home, follow the steps below:

02

Connect the oxygen concentrator to a power outlet and turn it on.

03

Attach the oxygen tubing to the oxygen outlet on the concentrator.

04

Place the other end of the tubing into the oxygen delivery device (e.g., nasal cannula, mask) that you will be using.

05

Adjust the flow rate of the oxygen according to your prescribed settings. This can usually be done using a flowmeter or control knob on the concentrator.

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Ensure that the oxygen delivery device is properly fitted and secured to your face or nose, depending on the type of device.

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Breathe normally and allow the oxygen to flow into your respiratory system.

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If you experience any difficulties or have questions, consult the user manual provided by Procare Home or contact their customer support for assistance.

Who needs oxygen - procare home?

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Procare Home provides oxygen for individuals who require supplemental oxygen therapy.

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This may include individuals with respiratory conditions such as chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, or other lung diseases.

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Patients who have low blood oxygen levels, difficulty breathing, or those recovering from surgery or illness may also benefit from oxygen therapy provided by Procare Home.

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It is important to consult a healthcare professional to determine if you need oxygen therapy and to obtain a prescription for the appropriate oxygen delivery method and flow rate.

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What is oxygen - procare home?

Oxygen - Procare home is a medical service that provides oxygen therapy to patients in the comfort of their own home.

Who is required to file oxygen - procare home?

Patients who require oxygen therapy at home are required to file for oxygen - procare home services.

How to fill out oxygen - procare home?

To fill out oxygen - procare home, patients need to contact a medical provider or hospital that offers home oxygen therapy services.

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The purpose of oxygen - procare home is to provide patients with the oxygen therapy they need in a convenient and comfortable setting such as their own home.

What information must be reported on oxygen - procare home?

The information reported on oxygen - procare home includes patient's medical history, oxygen therapy requirements, and contact information.

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