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Durable Medical Equipment Prior Authorization ... - Nevada... 2025

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The document is a Wheelchair Repair Form for Nevada Medicaid and Nevada Check Up, which outlines the process for requesting repairs on wheelchairs. It requires medical documentation to demonstrate ongoing necessity, details about the wheelchair, and certification from the technician or DME provider. The form emphasizes the importance of accurate information submission and includes instructions for faxing the request and contacting support.

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Does medical cover durable medical equipment?

Medi-Cal and Medicare cover different types of DME. 1 Durable medical equipment includes medical equipment and supplies like walkers, wheelchairs, canes, scooters, oxygen equipment, speech generating devices, therapeutic mattresses and bed equipment, patient lifts, blood sugar test strips, and more.

What is a certificate of medical necessity for durable medical equipment?

A certificate of medical necessity (CMN) is documentation from a doctor which Medicare requires before it will cover certain durable medical equipment (DME). The CMN states the patients diagnosis, prognosis, reason for the equipment, and estimated duration of need.

What is the 5 year rule for DME?

Note: The equipment you buy may be replaced if its lost, stolen, damaged beyond repair, or used for more than the reasonable useful lifetime of the equipment, which is generally 5 years from the date you start using the item. If you rent DME and other devices, Medicare makes monthly payments for the equipment.

What are medical documentation requirements?

Documentation must include the following content: Problem list, including significant illnesses and medical conditions. Medications. Adverse drug reactions. Allergies. Smoking status. Any history of alcohol use or substance abuse. Biographical or personal data. Pertinent history.

How is durable medical equipment billed?

DME billing has two main components; it allows for rentals and requires HCPCS (Healthcare Common Procedure Coding System) codes. When submitting insurance claims, HCPCS helps to identify the billed item or service provided. For instance, HCPCS code E0607 represents a home blood glucose monitor.

What are the documentation guidelines for durable medical equipment?

As part of the DME documentation requirement, make sure to include the following information, from the physician, with all submitted claims. Benefit and outcome of the patient using the DME items. Clinical and functional status of the patient to show medical necessity. Patients medical record.

What are the standard documentation requirements for all claims submitted to DME Macs?

Before submitting a claim to the DME MAC, you must have on file a standard written order (SWO), a written order prior to delivery (WOPD) (if applicable), information from the treating practitioner concerning the beneficiarys diagnosis1, and any information required for the use of specific modifiers or attestation

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