Certificate of Medical Necessity definition

Certificate of Medical Necessity or "CMN" means the DMAS-352 form that operates as a plan of care, and that must be completed and submitted in order for DMAS to provide coverage.
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Certificate of Medical Necessity or “CMN” means an approved Medicare form or a similar form which has been submitted to and approved by the department for use. This form shall contain all the documentation required for DME;
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Certificate of Medical Necessity means the United States Department of Health and
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Examples of Certificate of Medical Necessity in a sentence

  • Section 13, Benefits and Limitations, identifies circumstances for which a Certificate of Medical Necessity form is required for each program.

  • For information regarding submission of the Certificate of Medical Necessity for claims submitted by a Durable Medical Equipment provider see Section 7.1.A. If a claim is resubmitted, the provider must again attach a copy of the Certificate of Medical Necessity form.Medical consultants and medical review staff review the Certificate of Medical Necessity form and the claim form to make a determination regarding payment of the claim.

  • Additional information regarding the use of this form may also be found in Section 14, Special Documentation Requirements.Listed below are several examples of claims for payment that must be accompanied by a completed Certificate of Medical Necessity form.

  • The form must be related to the particular patient involved and must detail the risk to the patient if the service(s) had not been provided.The Certificate of Medical Necessity form must be either submitted electronically with the electronic claim or submitted on paper attached to the original claim form.

  • This attachment may be submitted via the Internet (see Section 3.8 and Section 23) or mailed to:Wipro InfocrossingP.O. Box 5900Jefferson City, MO 65102-5900If the Certificate of Medical Necessity is approved, the approved time period is six (6) months from the prescription date.

  • Any claim matching the criteria (including the type of service) on the Certificate of Medical Necessity for the approved time period can be processed for payment without a Certificate of Medical Necessity attached.

  • If medical necessity is not documented or supported, the claim is denied for payment.7.1.A CERTIFICATE OF MEDICAL NECESSITY FOR DURABLE MEDICAL EQUIPMENT PROVIDERSThe Certificate of Medical Necessity for durable medical equipment should not be submitted with a claim form.

  • END OF SECTIONTOP OF SECTION SECTION 7-MEDICAL NECESSITY 7.1 CERTIFICATE OF MEDICAL NECESSITYThe MO HealthNet Program requires that the Certificate of Medical Necessity form accompany claims for reimbursement of certain procedures, services or circumstances.

  • A Certificate of Medical Necessity for Oxygen, Form CMS-484, or a reasonable facsimile is completed by a physician, physician assistant, or advanced registered nurse practitioner and qualifies the member in accordance with Medicare criteria.

  • To identify the medical necessity for oxygen therapy, a Certificate of Medical Necessity for Oxygen, Form CMS-484, or a reasonable facsimile completed by a physician, physician assistant, or advanced registered nurse practitioner, shall qualify the member in accordance with Medicare criteria.


More Definitions of Certificate of Medical Necessity

Certificate of Medical Necessity or "CMN" means the DMAS-352 form required to be completed and submitted in order for DMAS to provide reimbursement.
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Related to Certificate of Medical Necessity

  • Certificate of Catholic Practice means a certificate issued by the family’s parish priest (or the priest in charge of the church where the family attends Mass) in the form laid down by the Bishops’ Conference of England and Wales. It will be issued if the priest is satisfied that at least one Catholic parent or carer (along with the child, if he or she is over seven years old) have (except when it was impossible to do so) attended Mass on Sundays and holy days of obligation for at least five years (or, in the case of the child, since the age of seven, if shorter). It will also be issued when the practice has been continuous since being received into the Church if that occurred less than five years ago. It is expected that most Certificates will be issued on the basis of attendance. A Certificate may also be issued by the priest when attendance is interrupted by exceptional circumstances which excuse from the obligation to attend on that occasion or occasions. Further details of these circumstances can be found in the guidance issued to priests http://rcdow.org.uk/education/governors/admissions/

  • Certificate of Compliance means a certificate issued in terms of the Regulations in respect of an electrical installation or part of an electrical installation by an accredited person;

  • Certificate of Completion means the certificate of completion given by the Engineer-in-charge pursuant to clause 40 of these conditions;