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What is the purpose of a letter of medical necessity?

A letter of medical necessity (LMN) is a letter written by your doctor that verifies the services or items you are purchasing are for the diagnosis, treatment or prevention of a disease or medical condition. This letter is required by the IRS for certain eligible expenses.

How long is a Certificate of Medical Necessity good for?

Recertification Date should be 12 months following the Initial Date when the value on the Initial CMN (for the replacement equipment) meets Group I criteria or three months following the Initial Date when the qualifying blood gas value on the Initial meets the Group II criteria.

What does missing Certificate of Medical Necessity mean?

A Certificate of Medical Necessity(CMN) is an official state document that establishes why you need certain medical supplies. It lets insurance companies know that you've seen a physician, and that the physician has determined you need medical supplies as part of your treatment.

What is a medical necessity document?

The medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT (Current Procedural Terminology) code. Documentation of medical necessity should do the following: Identify a specific medical reason or focus for the visit (e.g., worsening or new symptoms)

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