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PRIOR AUTHORIZATION FORM
Continuous Glucose Monitoring Medicare DME
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How to fill out continuous glucose monitoring

How to fill out continuous glucose monitoring
01
Wash your hands before handling the continuous glucose monitoring device.
02
Select a clean and dry insertion site on your body for the sensor.
03
Follow the manufacturer's instructions for inserting the sensor into your skin.
04
Connect the sensor to the monitoring device and wait for the calibration process to complete.
05
Regularly monitor your blood glucose levels on the device and follow any alerts or recommendations provided.
Who needs continuous glucose monitoring?
01
Individuals with diabetes who need to closely monitor their blood glucose levels throughout the day.
02
People who experience frequent episodes of hypoglycemia or hyperglycemia.
03
Those who have difficulty controlling their blood sugar levels with traditional methods like fingerstick testing.
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What is continuous glucose monitoring?
Continuous glucose monitoring is a method to track glucose levels in real-time using a small sensor inserted under the skin.
Who is required to file continuous glucose monitoring?
Continuous glucose monitoring is typically used by individuals with diabetes to monitor their glucose levels.
How to fill out continuous glucose monitoring?
Continuous glucose monitoring is filled out by wearing a small sensor that automatically measures and records glucose levels throughout the day.
What is the purpose of continuous glucose monitoring?
The purpose of continuous glucose monitoring is to provide individuals with diabetes a continuous stream of real-time glucose data to help them manage their condition more effectively.
What information must be reported on continuous glucose monitoring?
Continuous glucose monitoring reports typically include information such as glucose levels, trends, and alerts for high or low glucose levels.
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