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tci Medicare Compliance & Reimbursement - 2006 Issue 11

BILLING: New CMNs, DIFs Raise Questions Of Medical Necessity

Physician education is the key to good documentation.Documentation of medical necessity remains a thorny issue for DME suppliers, and one recent procedural update doesn't offer much help.An updated transmittal from the Centers for Medicare & Medicaid Services reminds suppliers that new CMNs and DIFs for durable medical equipment are fast approaching, but it doesn't provide needed answers as to how much documentation is enough, say industry experts.Many updates and changes were announced in CMS' recent transmittal on certificates of medical necessity and DME Medicare Administrative Contractor information forms. But one section left unchanged raises the most...

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