Elimination Of Certificates Of Medical Necessity (CMNs) And Durable Medical Equipment Forms (DIFs) - PowerPoint PPT Presentation

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Elimination Of Certificates Of Medical Necessity (CMNs) And Durable Medical Equipment Forms (DIFs)

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Centers for Medicare & Medicaid Services (CMS) is discontinuing Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFs) effective January 1, 2023. You can update your billing team on this crucial announcement and prior January 1, 2023 can submit CMN and DIF forms or their electronic claim data elements with the claims (if required). – PowerPoint PPT presentation

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Title: Elimination Of Certificates Of Medical Necessity (CMNs) And Durable Medical Equipment Forms (DIFs)


1
Elimination Of Certificates Of Medical Necessity
(CMNs) And Durable Medical Equipment Forms (DIFs)
2
Elimination Of Certificates Of Medical Necessity
(CMNs) And Durable Medical Equipment Forms (DIFs)
  • Centers for Medicare Medicaid Services (CMS) is
    discontinuing Certificates of Medical Necessity
    (CMNs) and DME Information Forms (DIFs) effective
    January 1, 2023. You can update your billing team
    on this crucial announcement and prior January 1,
    2023 can submit CMN and DIF forms or their
    electronic claim data elements with the claims
    (if required). After the effective date if you
    submit CMN or DIF forms or their electronic claim
    data elements with the claims then your claim
    will get rejected.
  • Originally, CMS required the CMN and DIF forms to
    help document medical necessity and other
    coverage criteria for selected DME. Suppliers got
    a signed CMN from the treating physician or
    created and signed a DIF to submit with the
    claim. Information from these forms is now
    available either on the claim or in the medical
    record. As mentioned earlier, CMS will not accept
    CMNs and DIFs on claims for dates of service on
    or after January 1, 2023.
  • The Certificates of Medical Necessity (CMNs)
    forms that shall be eliminated are as follows
  • CMS-484 Oxygen
  • CMS-846 Pneumatic Compression Devices
  • CMS-847 Osteogenesis Stimulators
  • CMS-848 Transcutaneous Electrical Nerve
    Stimulators
  • CMS-849 Seat Lift Mechanisms
  • CMS-854 Section C Continuation Form

3
Elimination Of Certificates Of Medical Necessity
(CMNs) And Durable Medical Equipment Forms (DIFs)
  • The Durable Medical Equipment Forms (DIFs) forms
    that shall be eliminated are as follows
  • CMS-10125 External Infusion Pumps
  • CMS-10126 Enteral and Parenteral Nutrition
  • Certificate of Medical Necessity (CMN) and DME
    Information Form (DIF)
  • A Certificate of Medical Necessity (CMN) or a DME
    Information Form (DIF) is a form required to help
    document the medical necessity and other coverage
    criteria for selected durable medical equipment,
    prosthetics, orthotics, and supplies (DMEPOS)
    items. CMNs contain sections A through D.
    Sections A and C are completed by the supplier
    and Sections B and D are completed by the
    physician. A DIF is completed and signed by the
    supplier. It does not require the cost, a
    narrative description of equipment or a
    physicians signature.
  • For certain items or services billed to a DME
    MAC, the supplier must receive a signed CMN from
    the treating physician or a signed DIF from the
    supplier. A supplier must have a signed order and
    an electronic CMN or DIF in their records before
    they can submit a claim for payment to Medicare.
    CMNs or DIFs have a DME MAC form number (e.g.,
    01, 02, 03) and a revision number (e.g., .01,
    .02). Some forms also have an alpha suffix (e.g.,
    A, B, C).

4
Elimination Of Certificates Of Medical Necessity
(CMNs) And Durable Medical Equipment Forms (DIFs)
All CMNs and DIFs have a CMS form number in
addition to the DME MAC form number. The CMS form
number is in the bottom left corner of the form.
CMNs and DIFs are referred to by their CMS form
numbers. DME MAC form numbers identify the CMN on
electronic claims submitted to the DME MAC. A
completed CMN or DIF must be maintained by the
supplier and made available to the DME MAC on
request. When hardcopy CMNs or DIFs are submitted
to the DME MAC, the supplier must include a copy
of only the front side. When CMNs are submitted
electronically, information from sections A and B
are required. Medisys Data Solutions is a
leading medical billing company providing
complete assistance in medical billing and coding
for your practice. We shared billing update on
DMEPOS for your reference only, you can also
refer MLN document for more information. If you
need any assistance in billing for Durable
Medical Equipment (DME) center, contact us at
info_at_medisysdata.com/ 302-261-9187
5
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